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1164693545
TERRY L. PANGBURN
MOULTON, IA
NPI
1164693545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: IA 022AA0001)
Enumeration Date
2008-03-13
Last Update Date
2008-03-13
Business Address
-- TERRY L. PANGBURN
109 S ELM ST
MOULTON, IA 52572-1441
Phone number: 641-856-7734
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Mailing Address
-- TERRY L. PANGBURN
109 S ELM ST
MOULTON, IA 52572-1441
Phone number: 641-856-7734
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