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1124007398
DALE WILDER
MUSCATINE, IA
NPI
1124007398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA 068515)
Enumeration Date
2006-01-16
Last Update Date
2007-07-08
Business Address
MR. DALE WILDER CRNA
1518 MULBERRY AVE
MUSCATINE, IA 52761-3433
Phone number: 563-264-9100
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Mailing Address
MR. DALE WILDER CRNA
1518 MULBERRY AVE
MUSCATINE, IA 52761-3433
Phone number: 563-264-9100
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