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1104293158
WYATT DALE BAXTER
WEST BURLINGTON, IA
NPI
1104293158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 079496)
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
Mr. WYATT DALE BAXTER PA-C
1221 S GEAR AVE
WEST BURLINGTON, IA 52655-1679
Phone number: 319-768-1000
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Mailing Address
Mr. WYATT DALE BAXTER PA-C
1393 N COUNTY ROAD 3000
TENNESSEE, IL 62374-3037
Phone number:
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