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1871554857
SUSAN A HORNBACK
LAKE CITY, IA
NPI
1871554857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 3650)
Enumeration Date
2006-03-30
Last Update Date
2011-10-12
Business Address
-- SUSAN A HORNBACK DO
1351 W MAIN ST
LAKE CITY, IA 51449-1585
Phone number: 712-464-3194
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Mailing Address
-- SUSAN A HORNBACK DO
1351 W MAIN ST
LAKE CITY, IA 51449-1585
Phone number: 712-464-3194
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