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1174518260
VINCENT MANDRACCHIA
DES MOINES, IA
NPI
1174518260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: IA 000581)
Enumeration Date
2005-09-14
Last Update Date
2008-12-22
Business Address
VINCENT MANDRACCHIA DPM
1801 HICKMAN RD BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314-1505
Phone number: 515-282-2319
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Mailing Address
VINCENT MANDRACCHIA DPM
1801 HICKMAN RD BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314-1505
Phone number: 515-282-2319
Copy
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