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1497376305
MITCHELL R BUDDE
DAVENPORT, IA
NPI
1497376305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IA 096720)
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
Mr. MITCHELL R BUDDE
1575 W 53RD ST
DAVENPORT, IA 52806-2448
Phone number: 563-386-9196
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Mailing Address
Mr. MITCHELL R BUDDE
107 MAIN ST
DELMAR, IA 52037-9701
Phone number: 563-349-3593
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