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1578573846
TRACY M MIXDORF
CLEAR LAKE, IA
NPI
1578573846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 03243)
Enumeration Date
2006-08-09
Last Update Date
2020-07-28
Business Address
TRACY M MIXDORF DO
1410 6TH AVE S
CLEAR LAKE, IA 50428-2606
Phone number: 641-437-2191
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Mailing Address
TRACY M MIXDORF DO
621 S ILLINOIS AVE SUITE 103
MASON CITY, IA 50401-5489
Phone number: 641-428-3041
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