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1184927634
CHARLES REGINALD ELAM
DENISON, IA
NPI
1184927634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA D138067)
Enumeration Date
2010-12-06
Last Update Date
2016-11-02
Business Address
Mr. CHARLES REGINALD ELAM
100 MEDICAL PKWY
DENISON, IA 51442-2607
Phone number: 712-265-2683
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Mailing Address
Mr. CHARLES REGINALD ELAM
100 MEDICAL PKWY
DENISON, IA 51442-2607
Phone number: 712-265-2683
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