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MR. DAVID MICHAEL REYNOLDS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
318 WILDWOOD RD, COUNCIL BLUFFS, IA 51503-5363
(402) 707-1879
Mailing address
318 WILDWOOD RD, COUNCIL BLUFFS, IA 51503-5363
(402) 707-1879

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P50196
IA

Other

Enumeration date
09/15/2010
Last updated
09/15/2010
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