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1386796530
GLENACE B SHANK
URBANDALE, IA
NPI
1386796530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 3154)
Enumeration Date
2007-01-17
Last Update Date
2012-08-09
Business Address
-- GLENACE B SHANK D.O.
2901 86TH ST
URBANDALE, IA 50322-4201
Phone number: 515-276-3406
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Mailing Address
-- GLENACE B SHANK D.O.
2901 86TH ST
URBANDALE, IA 50322-4201
Phone number: 515-276-3406
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