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Individual

LEO DANIEL HART

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
801 13TH ST, CHARLES CITY, IA 50616-3443
(641) 228-1143
(641) 228-7621
Mailing address
801 13TH ST, CHARLES CITY, IA 50616-3443
(641) 228-1143
(641) 228-7621

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
D054447
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0126649
IA
Enumeration date
03/14/2006
Last updated
07/08/2007
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