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1811095045
JEFFREY JAY FAGERLAND
DES MOINES, IA
NPI
1811095045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IA 02469)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- JEFFREY JAY FAGERLAND D.O.
330 LAUREL ST STE 1100
DES MOINES, IA 50314-3044
Phone number: 515-288-3287
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Mailing Address
-- JEFFREY JAY FAGERLAND D.O.
330 LAUREL ST STE 1100
DES MOINES, IA 50314-3044
Phone number: 515-288-3287
Copy
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