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1720162902
GREG CHARLES MADISON
DES MOINES, IA
NPI
1720162902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: IA 2007)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
DR. GREG CHARLES MADISON DO
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5800
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Mailing Address
DR. GREG CHARLES MADISON DO
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5800
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