TATE ALLEN LAGE

CLEAR LAKE, IA
NPI1770849333
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IA  DO-04690)
Enumeration Date2012-04-09
Last Update Date2020-07-20
Business Address
TATE ALLEN LAGE D.O.
401 S 15TH ST
CLEAR LAKE, IA 50428-2303
Phone number: 641-357-7442
Mailing Address
TATE ALLEN LAGE D.O.
401 S 15TH ST
CLEAR LAKE, IA 50428-2303
Phone number: 641-357-7442
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