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1427482199
MARK ALAN DE RUYTER
SPENCER, IA
NPI
1427482199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IA 02160)
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
-- MARK ALAN DE RUYTER LMSW
116 E. 11TH ST.
SPENCER, IA 51301
Phone number: 712-264-6048
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Mailing Address
-- MARK ALAN DE RUYTER LMSW
116 E. 11TH ST.
SPENCER, IA 51301
Phone number: 712-264-6048
Copy
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