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Organization

BRIAN KLESHINSKI OD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN KLESHINSKI O.D. (OWNER)
(419) 756-0081
Entity
Organization

Contact information

Practice address
1341 LEXINGTON AVE, MANSFIELD, OH 44907-2614
(419) 756-0081
Mailing address
1341 LEXINGTON AVE, MANSFIELD, OH 44907-2614
(419) 756-0081

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3476 T565
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0448831
OH
Enumeration date
10/18/2010
Last updated
11/28/2011
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