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1891776365
ETHAN EVERETT HUISMAN
WAUKEE, IA
NPI
1891776365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 02216)
Enumeration Date
2005-11-10
Last Update Date
2021-11-05
Business Address
Dr. ETHAN EVERETT HUISMAN OD
1350 SE UNIVERSITY AVE
WAUKEE, IA 50263-8933
Phone number: 515-987-3937
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Mailing Address
Dr. ETHAN EVERETT HUISMAN OD
1350 SE UNIVERSITY AVE
WAUKEE, IA 50263-8933
Phone number: 515-987-3937
Copy
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