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1447226840
KENNETH H MOON JR
DES MOINES, IA
NPI
1447226840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
(Licence: IA 02033)
Enumeration Date
2006-02-24
Last Update Date
2012-08-09
Business Address
-- KENNETH H MOON JR DO
2301 EAST 14TH STREET
DES MOINES, IA 50316-1901
Phone number: 515-262-0404
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Mailing Address
-- KENNETH H MOON JR DO
2301 E 14TH ST
DES MOINES, IA 50316-1901
Phone number: 515-262-0404
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