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Individual

MR. LEROY ANSELM MARKLUND

Active
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Individual

MR. LEROY ANSELM MARKLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
16422
CA
364SA2100X
Acute Care Clinical Nurse Specialist
2685
CA

Other

Enumeration date
04/18/2008
Last updated
04/18/2008
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