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1548624810
LAURA REAL
SIOUX CITY, IA
NPI
1548624810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA D143572)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- LAURA REAL CRNA
2720 STONE PARK BLVD
SIOUX CITY, IA 51104-3734
Phone number: 712-279-3290
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Mailing Address
-- LAURA REAL CRNA
PO BOX 62
JEFFERSON, SD 57038-0062
Phone number: 210-823-8059
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