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Individual

DR. LESLIE HELEN VALENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
852 WINTER STREET, LUCEDALE, MS 39452
(601) 947-3553
(601) 947-3933
Mailing address
852 WINTER STREET, LUCEDALE, MS 39452
(601) 947-3553
(601) 947-3933

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
5903TA472
AL
152W00000X
Optometrist
Primary
639
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00880174
MS
Enumeration date
12/11/2006
Last updated
10/01/2012
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