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1659711349
GARRETT JAMES FEDDERSEN
STORM LAKE, IA
NPI
1659711349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA DO-04574)
Enumeration Date
2013-06-27
Last Update Date
2018-08-06
Business Address
GARRETT JAMES FEDDERSEN D.O.
1525 W 5TH ST
STORM LAKE, IA 50588
Phone number: 712-213-8676
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Mailing Address
GARRETT JAMES FEDDERSEN D.O.
1525 WEST 5TH ST PO BOX 309
STORM LAKE, IA 50588
Phone number: 712-213-8676
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