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1336243542
KEVIN JAY LIUDAHL
SIOUX CITY, IA
NPI
1336243542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IA 25978)
Enumeration Date
2006-09-08
Last Update Date
2019-02-20
Business Address
Mr. KEVIN JAY LIUDAHL MD
2800 PIERCE ST STE 101
SIOUX CITY, IA 51104
Phone number: 712-224-8677
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Mailing Address
Mr. KEVIN JAY LIUDAHL MD
2730 PIERCE ST STE 300
SIOUX CITY, IA 51104-3765
Phone number: 712-224-8677
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