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Individual

LESLIE ERNEST HINSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CCC-A

Contact information

Practice address
ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC, 5015 PROSPECT AVE NE, ALBUQUERQUE, NM 87110-4045
(505) 764-0036
(505) 764-0446
Mailing address
ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC, 5015 PROSPECT AVE NE, ALBUQUERQUE, NM 87110-4045
(505) 764-0036
(505) 764-0446

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2451
NM
231H00000X
Audiologist
396
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000K3526
NM
01
HSZ196
MEDICARE PART B
NM
05
Z7095
NM
Enumeration date
12/11/2006
Last updated
06/12/2008
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