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1700888476
OPAS ANOTHAYANONTHA
DES MOINES, IA
NPI
1700888476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: IA 18895)
Enumeration Date
2005-08-12
Last Update Date
2007-07-08
Business Address
-- OPAS ANOTHAYANONTHA M.D.
2213 GRAND AVE
DES MOINES, IA 50312-5305
Phone number: 515-237-3974
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Mailing Address
-- OPAS ANOTHAYANONTHA M.D.
2213 GRAND AVE
DES MOINES, IA 50312-5305
Phone number: 515-237-3974
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