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1861520652
LYLE THOMAS ROUDABUSH
GRINNELL, IA
NPI
1861520652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 5719)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Dr. LYLE THOMAS ROUDABUSH D.D.S.
825 BROAD ST
GRINNELL, IA 50112-2153
Phone number: 641-236-6169
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Mailing Address
Dr. LYLE THOMAS ROUDABUSH D.D.S.
125 16TH AVE.
GRINNELL, IA 50112
Phone number: 641-236-8139
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