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1184813305
MARK THOMAS MENTZER
HIAWATHA, IA
NPI
1184813305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 01912)
Enumeration Date
2007-10-24
Last Update Date
2009-06-15
Business Address
MARK THOMAS MENTZER OD
2200 BLAIRSFERRY CROSSING
HIAWATHA, IA 52233-7900
Phone number: 319-294-9546
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Mailing Address
MARK THOMAS MENTZER OD
2200 BLAIRSFERRY CROSSING
HIAWATHA, IA 52233-7900
Phone number: 319-294-9546
Copy
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