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1639130057
MARC JAMES GOEDERS
CLIVE, IA
NPI
1639130057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IA 001294)
Enumeration Date
2006-03-28
Last Update Date
2023-02-07
Business Address
Mr. MARC JAMES GOEDERS PA
12129 UNIVERSITY AVE STE 100
CLIVE, IA 50325-8287
Phone number: 515-400-3550
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Mailing Address
Mr. MARC JAMES GOEDERS PA
12129 UNIVERSITY AVE STE 100
CLIVE, IA 50325-8287
Phone number: 515-400-3550
Copy
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