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1891766440
ED DEHAAN
FORT DODGE, IA
NPI
1891766440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 22648)
Enumeration Date
2006-01-31
Last Update Date
2007-07-27
Business Address
-- ED DEHAAN MD
126 NORTH 10TH ST
FORT DODGE, IA 50501
Phone number: 515-576-6500
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Mailing Address
-- ED DEHAAN MD
126 NORTH 10TH ST
FORT DODGE, IA 50501
Phone number: 515-576-6500
Copy
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