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1134612013
MILDREDE BONGLACK
IOWA CITY, IA
NPI
1134612013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IA R-11323)
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
MILDREDE BONGLACK MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2294
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Mailing Address
MILDREDE BONGLACK MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number:
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