JERRY M LECLAIR

SIOUX FALLS, SD
NPI1649244948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  0051)
Enumeration Date2006-02-14
Last Update Date2007-10-25
Business Address
-- JERRY M LECLAIR CRNA
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-333-1000
Mailing Address
-- JERRY M LECLAIR CRNA
PO BOX 5053
SIOUX FALLS, SD 57117-5053
Phone number: 605-328-6548
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