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1134858046
TAYLOR ILLG
FORT DODGE, IA
NPI
1134858046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IA 111809)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
TAYLOR ILLG
102 N 25TH ST
FORT DODGE, IA 50501-4338
Phone number: 515-416-8822
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Mailing Address
TAYLOR ILLG
PO BOX 461
NEVADA, IA 50201-0461
Phone number:
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