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1801264825
MEGAN R GRODAHL
LAKE CITY, IA
NPI
1801264825
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Former Name
MEGAN R DOLLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 079586)
Enumeration Date
2015-09-08
Last Update Date
2015-09-08
Business Address
-- MEGAN R GRODAHL P.A.
1351 W MAIN ST
LAKE CITY, IA 51449-1585
Phone number: 712-464-7907
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Mailing Address
-- MEGAN R GRODAHL P.A.
1301 W MAIN ST PO BOX 114
LAKE CITY, IA 51449-1585
Phone number: 712-464-3171
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