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1790022697
JOHN THEODORE ANDERSON
TEMPLETON, IA
NPI
1790022697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IA A-108960)
Enumeration Date
2013-01-11
Last Update Date
2017-08-31
Business Address
JOHN THEODORE ANDERSON ARNP
104 E 3RD ST
TEMPLETON, IA 51463-5027
Phone number: 712-669-3894
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Mailing Address
JOHN THEODORE ANDERSON ARNP
2221 ELM ST
RAWLINS, WY 82301-5108
Phone number: 307-324-2221
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