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1043818941
LESLIE BROOKE CHARLEVILLE
INDIANOLA, IA
NPI
1043818941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A158761)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
LESLIE BROOKE CHARLEVILLE ARNP
10001 95TH AVE
INDIANOLA, IA 50125-7181
Phone number: 225-936-6814
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Mailing Address
LESLIE BROOKE CHARLEVILLE ARNP
10001 95TH AVE
INDIANOLA, IA 50125-7181
Phone number: 225-936-6814
Copy
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