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1861483372
JACK TRACY SWANSON
AMES, IA
NPI
1861483372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IA 18404)
Enumeration Date
2005-11-03
Last Update Date
2012-08-17
Business Address
Dr. JACK TRACY SWANSON M.D.
1215 DUFF AVE
AMES, IA 50010-3014
Phone number: 515-239-4404
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Mailing Address
Dr. JACK TRACY SWANSON M.D.
1215 DUFF AVE
AMES, IA 50010-3014
Phone number: 515-239-4404
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