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Individual

JOHN M LESKOVAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-3679
(330) 884-3691
Mailing address
4665 DOUGLAS CIR NW, STE 100, CANTON, OH 44718-3673
(330) 759-9350
(330) 759-9387

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN281961
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2335913
OH
Enumeration date
05/17/2006
Last updated
04/30/2019
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