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NPI Provider: 1063418820
Contact Name: Dudley Edward Paul
Position: President
Phone: (712) 423-1525
Family Medicine Clinic, Pc Information:
Family Medicine Clinic, Pc organization have npi 1063418820, taxonomy code is 207Q00000X with license number is in . This Business address located in 1614 Diamond Street Pl, Onawa, IA 51040 Iowa. Get directions of Family Medicine Clinic, Pc.
Practice Location
Address: 1614 Diamond Street Pl, Onawa, IA 51040
Phone: (712) 423-1525
Business Location
Address: 1614 Diamond Street Pl, Onawa, IA 51040
Phone: (712) 423-1525
Fax: (712) 423-2528
Taxonomy
Taxonomy Code: 207Q00000X
License Number:
License Number of State: IA
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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