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1922349331
JASON THOMAS KASENBERG
WATERLOO, IA
NPI
1922349331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IA DO-05198)
Enumeration Date
2013-03-10
Last Update Date
2022-02-04
Business Address
JASON THOMAS KASENBERG DO
1753 W RIDGEWAY AVE STE 107
WATERLOO, IA 50701
Phone number: 319-833-5907
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Mailing Address
JASON THOMAS KASENBERG DO
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 970-215-7352
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