PHILLIP A KISSACK

IOWA CITY, IA
NPI1376530030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IA  01464)
Enumeration Date2005-09-28
Last Update Date2007-07-08
Business Address
-- PHILLIP A KISSACK RD LD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-6204
Mailing Address
-- PHILLIP A KISSACK RD LD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-6204
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