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1811971690
IVAN LEGOAS
INDIANAPOLIS, IN
NPI
1811971690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28139740A)
Enumeration Date
2005-12-05
Last Update Date
2021-07-06
Business Address
IVAN LEGOAS CRNA
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256-1695
Phone number: 317-621-5890
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Mailing Address
IVAN LEGOAS CRNA
11344 ABBITT TRL
ZIONSVILLE, IN 46077-0016
Phone number: 574-268-9640
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