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1679567481
TERRY DONN MOEHNKE
FORT DODGE, IA
NPI
1679567481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 1649)
Enumeration Date
2005-09-07
Last Update Date
2014-02-27
Business Address
TERRY DONN MOEHNKE O.D.
25 S 16TH ST
FORT DODGE, IA 50501-5021
Phone number: 515-955-6720
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Mailing Address
TERRY DONN MOEHNKE O.D.
25 S 16TH ST
FORT DODGE, IA 50501-5021
Phone number: 515-955-6720
Copy
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