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1841331253
JAY D MIXDORF
MASON CITY, IA
NPI
1841331253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 19748)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
-- JAY D MIXDORF MD
1501 4TH ST SW
MASON CITY, IA 50401-2737
Phone number: 641-422-5244
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Mailing Address
-- JAY D MIXDORF MD
621 S ILLINOIS AVE SUITE 103
MASON CITY, IA 50401-5489
Phone number: 641-494-3041
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