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Individual
MR. DENNIS LEO ANCO
Active
Individual
MR. DENNIS LEO ANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1089
MN
224P00000X
Prosthetist
Primary
1089
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1089
BOARD OF PODIATRIC MEDICINE
MN
01
—
CPO04135
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS
—
Enumeration date
09/28/2019
Last updated
09/28/2019
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