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1619210549
RUSTIN GERHARD LICHT
IOWA CITY, IA
NPI
1619210549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA MD-42568)
Enumeration Date
2013-03-28
Last Update Date
2018-03-29
Business Address
Mr. RUSTIN GERHARD LICHT
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1616
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Mailing Address
Mr. RUSTIN GERHARD LICHT
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1616
Copy
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