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1720022296
LEO J LANTZ
FARGO, ND
NPI
1720022296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ND R24550)
Enumeration Date
2006-06-15
Last Update Date
2012-06-13
Business Address
-- LEO J LANTZ CRNA
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
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Mailing Address
-- LEO J LANTZ CRNA
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-3300
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