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1275365884
KALIFALA FANE
MASON CITY, IA
NPI
1275365884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IA 127574)
Enumeration Date
2024-08-14
Last Update Date
2024-08-27
Business Address
KALIFALA FANE
250 S CRESCENT DR
MASON CITY, IA 50401-2926
Phone number: 641-494-5415
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Mailing Address
KALIFALA FANE
250 S CRESCENT DR
MASON CITY, IA 50401-2926
Phone number: 641-494-5415
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