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1366417735
THADDEAUS VERNON
SIOUX CITY, IA
NPI
1366417735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 36310)
Enumeration Date
2006-02-21
Last Update Date
2007-07-08
Business Address
DR. THADDEAUS VERNON M.D.
2501 PIERCE ST
SIOUX CITY, IA 51104-3725
Phone number: 712-294-5000
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Mailing Address
DR. THADDEAUS VERNON M.D.
2501 PIERCE ST
SIOUX CITY, IA 51104-3725
Phone number: 712-294-5000
Copy
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