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1437599297
MARA GROOM HERMISTON
SPIRIT LAKE, IA
NPI
1437599297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-9859)
Enumeration Date
2013-06-26
Last Update Date
2024-12-27
Business Address
MARA GROOM HERMISTON D.O.
2301 HIGHWAY 71 STE C
SPIRIT LAKE, IA 51360-1253
Phone number: 712-336-3750
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Mailing Address
MARA GROOM HERMISTON D.O.
2301 HIGHWAY 71 STE C
SPIRIT LAKE, IA 51360-1253
Phone number: 712-336-3750
Copy
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