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1104998251
JIMMY R. MASCARO
OTTUMWA, IA
NPI
1104998251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA 3768)
Enumeration Date
2006-11-14
Last Update Date
2007-10-16
Business Address
-- JIMMY R. MASCARO D.O.
312 E ALTA VISTA AVE
OTTUMWA, IA 52501-1413
Phone number: 641-683-4454
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Mailing Address
-- JIMMY R. MASCARO D.O.
312 E ALTA VISTA AVE
OTTUMWA, IA 52501-1413
Phone number: 641-683-4454
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