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1174240022
LATHAM KIRK HENDRICKSON
AMES, IA
NPI
1174240022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 24592)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
LATHAM KIRK HENDRICKSON
2719 GRAND AVE
AMES, IA 50010-4659
Phone number: 515-232-8284
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Mailing Address
LATHAM KIRK HENDRICKSON
3412 EMERALD DR
AMES, IA 50010-8539
Phone number: 970-237-1495
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