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1598882607
ERIC OWEN NIELSEN
SPIRIT LAKE, IA
NPI
1598882607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IA 5995)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Dr. ERIC OWEN NIELSEN d.d.s.
906 LAKE ST
SPIRIT LAKE, IA 51360-1652
Phone number: 712-336-2460
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Mailing Address
Dr. ERIC OWEN NIELSEN d.d.s.
906 LAKE ST
SPIRIT LAKE, IA 51360-1652
Phone number: 712-336-2460
Copy
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