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1679565303
COLIN KAVANAGH
DES MOINES, IA
NPI
1679565303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 03210)
Enumeration Date
2005-08-18
Last Update Date
2010-02-24
Business Address
-- COLIN KAVANAGH D.O.
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number: 515-271-1622
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Mailing Address
-- COLIN KAVANAGH D.O.
PO BOX 1936
DES MOINES, IA 50306-1936
Phone number: 515-471-9243
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