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1770749665
MACE WALKER BOSHART
ADEL, IA
NPI
1770749665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001940)
Enumeration Date
2008-07-31
Last Update Date
2012-02-14
Business Address
-- MACE WALKER BOSHART PA-C
1120 GREENE ST
ADEL, IA 50003-1712
Phone number: 515-993-4656
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Mailing Address
-- MACE WALKER BOSHART PA-C
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-993-4656
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