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DANIEL ELLSWORTH

Driver

NPI: 1376298232Individual

Specialties, Licenses & Credentials

DriverPrimary

Driver

Code: 172A00000X

514AG2680(IA)
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Contact & Hours

Address
1709 35TH AVE W UNIT 1
SPENCER, IA 51301

Quick Facts

NPI
1376298232
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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