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1306926407
KENNETH JAMES MYRBERG
SHENANDOAH, IA
NPI
1306926407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IA 5587)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. KENNETH JAMES MYRBERG DDS
1204 A W SHERIDAN AVE
SHENANDOAH, IA 51601-1554
Phone number: 712-246-2180
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Mailing Address
Dr. KENNETH JAMES MYRBERG DDS
1204 A W SHERIDAN AVE
SHENANDOAH, IA 51601-1554
Phone number: 712-246-2180
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