LEROY TAYLOR KINCANNON

GRAND RAPIDS, MN
NPI1528173846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MN  2466)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
Dr. LEROY TAYLOR KINCANNON O.D.
1542 GOLF COURSE RD SUITE 201
GRAND RAPIDS, MN 55744-9603
Phone number: 218-326-3433
Mailing Address
Dr. LEROY TAYLOR KINCANNON O.D.
3221 E 4TH ST
DULUTH, MN 55804-1831
Phone number: 218-260-8536
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