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1831101427
C JAMES MIKELSON
WATERLOO, IA
NPI
1831101427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 05851)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. C JAMES MIKELSON DDS
3308 KIMBALL AVE
WATERLOO, IA 50702
Phone number: 319-233-6177
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Mailing Address
Dr. C JAMES MIKELSON DDS
3308 KIMBALL AVE
WATERLOO, IA 50702
Phone number: 319-233-6177
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