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1619661790
KEVIN LEE DENCKLAU
FORT DODGE, IA
NPI
1619661790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: IA 702XX8341)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
KEVIN LEE DENCKLAU
1044 N 31ST PL
FORT DODGE, IA 50501-2920
Phone number: 515-408-8647
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Mailing Address
KEVIN LEE DENCKLAU
1044 N 31ST PL
FORT DODGE, IA 50501-2920
Phone number: 515-408-8647
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