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Daniel Leland Ellsworth
Driver in Spencer, Iowa
NPI 1376298232

Daniel Leland Ellsworth is a Driver based in Spencer, IA. Daniel Leland Ellsworth practices in Spencer, IA. The NPI Number for Daniel Leland Ellsworth is 1376298232 and holds a License No. 514AG2680 (Iowa).

The current practice location address for Daniel Leland Ellsworth is 1709 35Th Ave W Unit 1, Spencer, IA and can be reached out via phone at 712-260-0090.

Location: 1709 35Th Ave W Unit 1, Spencer, IA, 51301-2873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376298232
Provider Name
Daniel Leland Ellsworth
Credential
Provider Entity Type
Individual
Gender
Male
Address
1709 35Th Ave W Unit 1, Spencer, IA, 51301-2873
Phone Number
712-260-0090
Fax Number
Provider Enumeration Date
02/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1709 35Th Ave W Unit 1
City
Spencer
State
Iowa
Zip
51301-2550
Phone Number
712-260-0090
Fax Number
person
Provider Business Mailing Address Details
Address
1709 35Th Ave W Unit 1
City
Spencer
State
Iowa
Zip
51301-2550
Phone Number
712-260-0090
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
514AG2680 (Iowa)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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