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1093383085
ZACHARY GAVIN TANENBAUM
IOWA CITY, IA
NPI
1093383085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IA R-12211)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
ZACHARY GAVIN TANENBAUM
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-8277
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Mailing Address
ZACHARY GAVIN TANENBAUM
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-8277
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