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1043228604
RENEE D LASS
DAVENPORT, IA
NPI
1043228604
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Entity Type
Organization
Authorized Contact
PAM BELL
Office Mgr
563-359-3736
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 3589)
Enumeration Date
2006-08-03
Last Update Date
2008-04-08
Business Address
RENEE D LASS
4626 PROGRESS DR STE B
DAVENPORT, IA 52807-3485
Phone number: 563-359-3736
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Mailing Address
RENEE D LASS
4626 PROGRESS DR STE B
DAVENPORT, IA 52807-3485
Phone number: 563-359-3736
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