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1942470828
WATERFORD FAMILY MEDICINE PC
DAVENPORT, IA
NPI
1942470828
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Entity Type
Organization
Authorized Contact
TAMMY J WELLS
Owner
563-355-9990
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 1093794968)
Enumeration Date
2008-03-06
Last Update Date
2008-03-06
Business Address
WATERFORD FAMILY MEDICINE PC
1820 E 54TH ST STE B
DAVENPORT, IA 52807-2797
Phone number: 563-355-9990
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Mailing Address
WATERFORD FAMILY MEDICINE PC
1820 E 54TH ST STE B
DAVENPORT, IA 52807-2797
Phone number: 563-355-9990
Copy
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