TERRY L. PANGBURN

MOULTON, IA
NPI1164693545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
(Licence: IA  022AA0001)
Enumeration Date2008-03-13
Last Update Date2008-03-13
Business Address
TERRY L. PANGBURN
109 S ELM ST
MOULTON, IA 52572-1441
Phone number: 641-856-7734
Mailing Address
TERRY L. PANGBURN
109 S ELM ST
MOULTON, IA 52572-1441
Phone number: 641-856-7734