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Individual

LESLIE BROOKE CHARLEVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
10001 95TH AVE, INDIANOLA, IA 50125-7181
(225) 936-6814
Mailing address
10001 95TH AVE, INDIANOLA, IA 50125-7181
(225) 936-6814

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A158761
IA

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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