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1376557769
JESSE VAN BUTLER
DECORAH, IA
NPI
1376557769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MN 10116)
Enumeration Date
2006-07-28
Last Update Date
2011-03-08
Business Address
Mr. JESSE VAN BUTLER PA-C
901 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-2911
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Mailing Address
Mr. JESSE VAN BUTLER PA-C
901 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-2911
Copy
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