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1619380680
TARA BROCKMAN
DES MOINES, IA
NPI
1619380680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-10042)
Enumeration Date
2014-06-08
Last Update Date
2014-06-08
Business Address
-- TARA BROCKMAN D.O.
1801 HICKMAN RD
DES MOINES, IA 50314-1505
Phone number: 515-282-5640
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Mailing Address
-- TARA BROCKMAN D.O.
1801 HICKMAN RD
DES MOINES, IA 50314-1505
Phone number: 515-282-5640
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