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1043264930
PATRICK LAWRENCE GANNON
WEST DES MOINES, IA
NPI
1043264930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 02274)
Enumeration Date
2006-05-22
Last Update Date
2007-07-08
Business Address
Dr. PATRICK LAWRENCE GANNON O.D.
7205 MILLS CIVIC PKWY
WEST DES MOINES, IA 50266-8140
Phone number: 515-222-2924
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Mailing Address
Dr. PATRICK LAWRENCE GANNON O.D.
7205 MILLS CIVIC PKWY
WEST DES MOINES, IA 50266-8140
Phone number: 515-222-2924
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