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1780019190
PHILIP DUANE HEATH
MASON CITY, IA
NPI
1780019190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-05
Last Update Date
2013-09-05
Business Address
-- PHILIP DUANE HEATH BS IADC
320 N EISENHOWER AVE
MASON CITY, IA 50402-1338
Phone number: 641-424-2391
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Mailing Address
-- PHILIP DUANE HEATH BS IADC
PO BOX 1338 320 N EISENHOWER AVE
MASON CITY, IA 50402-1338
Phone number: 641-424-2391
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