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1386613990
DALE VANDER BROEK
PELLA, IA
NPI
1386613990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IA 02411)
Enumeration Date
2006-03-16
Last Update Date
2014-05-14
Business Address
-- DALE VANDER BROEK DO
2 DEER RUN DR
PELLA, IA 50219-1356
Phone number: 641-780-1202
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Mailing Address
-- DALE VANDER BROEK DO
2 DEER RUN DR
PELLA, IA 50219-1356
Phone number: 641-780-1202
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