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1689651655
JACK C AVALOS
CLINTON, IA
NPI
1689651655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IA 29895)
Enumeration Date
2005-12-29
Last Update Date
2010-10-29
Business Address
-- JACK C AVALOS M.D.
1410 N 4TH ST
CLINTON, IA 52732-2940
Phone number: 563-244-5642
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Mailing Address
-- JACK C AVALOS M.D.
PO BOX 2660
WATERLOO, IA 50704-2660
Phone number: 319-233-3044
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