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1891707832
LISA KLOCK
DES MOINES, IA
NPI
1891707832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 02866)
Enumeration Date
2006-08-11
Last Update Date
2017-01-26
Business Address
-- LISA KLOCK DO
2508 E UNIVERSITY AVE BROADLAWNS EAST UNIVERSITY CLINIC
DES MOINES, IA 50317-5313
Phone number: 515-282-3278
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Mailing Address
-- LISA KLOCK DO
2508 E UNIVERSITY AVE
DES MOINES, IA 50317-5313
Phone number: 515-282-3278
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