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1013960129
EROMOSELE ANTHONY OTOADESE
WATERLOO, IA
NPI
1013960129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IA 28663)
Enumeration Date
2006-05-18
Last Update Date
2020-04-29
Business Address
EROMOSELE ANTHONY OTOADESE MD
1753 W RIDGEWAY AVE STE 111
WATERLOO, IA 50701-4588
Phone number: 219-233-6211
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Mailing Address
EROMOSELE ANTHONY OTOADESE MD
PO BOX 2660
WATERLOO, IA 50704-2660
Phone number: 319-233-6621
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