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1134284185
JOHN TERRY FANDRICH
ANKENY, IA
NPI
1134284185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 00083)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Mr. JOHN TERRY FANDRICH LISW
501 SW ANKENY RD
ANKENY, IA 50023-9702
Phone number: 515-289-2272
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Mailing Address
Mr. JOHN TERRY FANDRICH LISW
1111 UNIVERSITY AVE
DES MOINES, IA 50314-2329
Phone number: 515-288-9181
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