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1285793844
WAYNE LEROY VENTLING
WATERLOO, IA
NPI
1285793844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: IA 02747)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
WAYNE LEROY VENTLING DO
4150 KIMBALL AVENUE
WATERLOO, IA 50701
Phone number: 219-235-5390
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Mailing Address
WAYNE LEROY VENTLING DO
4150 KIMBALL AVENUE CO CINDY SNELL CEDAR VALLEY MEDICAL SPECIALISTS
WATERLOO, IA 50701
Phone number: 219-235-5390
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