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1902124175
KETTMAN PRANGER FAMILY MEDICINE, PLLC
WATERLOO, IA
NPI
1902124175
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Entity Type
Organization
Authorized Contact
MATTHEW J KETTMAN
Owner
319-236-7720
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 33683)
Enumeration Date
2010-05-12
Last Update Date
2012-08-13
Business Address
KETTMAN PRANGER FAMILY MEDICINE, PLLC
220 SOUTHBROOKE DR
WATERLOO, IA 50702-5802
Phone number: 319-236-7720
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Mailing Address
KETTMAN PRANGER FAMILY MEDICINE, PLLC
PO BOX 658
WATERLOO, IA 50704-0658
Phone number: 319-236-7720
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