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1235194648
BRADLEY R DIRKS
CHEROKEE, IA
NPI
1235194648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001213)
Enumeration Date
2006-04-19
Last Update Date
2009-07-31
Business Address
Mr. BRADLEY R DIRKS PAC
1251 W CEDAR LOOP
CHEROKEE, IA 51012-1599
Phone number: 712-225-2594
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Mailing Address
Mr. BRADLEY R DIRKS PAC
1251 W CEDAR LOOP
CHEROKEE, IA 51012-1599
Phone number: 712-225-2594
Copy
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