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Individual

LESLIE LYNN CLASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
401 S BALLENGER HWY, 3 NORTH, FLINT, MI 48532-3638
(810) 342-2503
(810) 342-2503
Mailing address
401 S BALLENGER HWY, 3 NORTH, FLINT, MI 48532-3638
(810) 342-2503
(810) 342-2591

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704257149
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704257149
MI

Other

Enumeration date
06/24/2013
Last updated
05/03/2017
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