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1073737078
MARK THOMAS HABERER
WATERLOO, IA
NPI
1073737078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IA P48603)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Mr. MARK THOMAS HABERER LPN
3251 W 9TH ST
WATERLOO, IA 50702-5310
Phone number: 319-234-2893
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Mailing Address
Mr. MARK THOMAS HABERER LPN
3251 W 9TH ST
WATERLOO, IA 50702-5310
Phone number: 319-234-2893
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