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1265403216
TERRY DALE VAN OORT
ANKENY, IA
NPI
1265403216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 21660)
Enumeration Date
2006-01-29
Last Update Date
2016-08-09
Business Address
TERRY DALE VAN OORT M.D.
302 SW WALNUT ST
ANKENY, IA 50023-3042
Phone number: 515-229-0310
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Mailing Address
TERRY DALE VAN OORT M.D.
821 SE RICHLAND CIR
ANKENY, IA 50021-3650
Phone number: 515-229-0310
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