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Individual

MINDY STERNER LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2012 14TH ST SW, GREAT FALLS, MT 59404-3486
(406) 452-4527
(406) 453-1900
Mailing address
2012 14TH ST SW, GREAT FALLS, MT 59404-3486
(406) 452-4527
(406) 453-1900

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
540
MT
152WX0102X
Occupational Vision Optometrist
540
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0482833
MT
Enumeration date
08/02/2005
Last updated
10/24/2014
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