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1376298232
DANIEL LELAND ELLSWORTH
SPENCER, IA
NPI
1376298232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: IA 514ag2680)
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
DANIEL LELAND ELLSWORTH
1709 35TH AVE W UNIT 1
SPENCER, IA 51301-2550
Phone number: 712-260-0090
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Mailing Address
DANIEL LELAND ELLSWORTH
1607 MCNAUGHTON WAY
SPENCER, IA 51301-2873
Phone number: 712-260-0090
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