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1346316692
AMANDA J DYVIG
DES MOINES, IA
NPI
1346316692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001439)
Enumeration Date
2006-11-28
Last Update Date
2008-02-19
Business Address
-- AMANDA J DYVIG P.A
1301 PENNSYLVANIA AVE STE 417
DES MOINES, IA 50316-2350
Phone number: 515-263-5684
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Mailing Address
-- AMANDA J DYVIG P.A
1575 SE OLSON DR
WAUKEE, IA 50263-8260
Phone number: 515-987-8991
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