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1841616315
MARK SMITH
DES MOINES, IA
NPI
1841616315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IA A117495)
Enumeration Date
2014-03-08
Last Update Date
2014-03-08
Business Address
-- MARK SMITH ARNP
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-247-4240
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Mailing Address
-- MARK SMITH ARNP
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-247-4240
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