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Individual

LEROY KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 W CHESTNUT ST, WASHINGTON, PA 15301-5864
(724) 228-1028
(724) 228-1946
Mailing address
1500 W CHESTNUT ST, WASHINGTON, PA 15301-5864
(724) 228-1028
(724) 228-1946

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0510301804
PA
Enumeration date
11/15/2005
Last updated
07/08/2007
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