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1881613495
MARK ALLAN HAVERTAPE
CEDAR RAPIDS, IA
NPI
1881613495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IA A05832)
Enumeration Date
2006-07-18
Last Update Date
2007-07-09
Business Address
Dr. MARK ALLAN HAVERTAPE D.C.
3804 1ST AVE NE
CEDAR RAPIDS, IA 52402-5603
Phone number: 319-364-6387
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Mailing Address
Dr. MARK ALLAN HAVERTAPE D.C.
3804 1ST AVE NE
CEDAR RAPIDS, IA 52402-5603
Phone number: 319-364-6387
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