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1407454044
DEREK MANSON DZABOFF
MANCHESTER, IA
NPI
1407454044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A161092)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
DEREK MANSON DZABOFF ARNP FNP-BC
709 W MAIN ST
MANCHESTER, IA 52057-1526
Phone number: 563-927-7777
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Mailing Address
DEREK MANSON DZABOFF ARNP FNP-BC
709 W MAIN ST
MANCHESTER, IA 52057-1526
Phone number: 563-920-8593
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