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Individual

MR. JAMES A BLASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2566 HUBBELL AVE, DES MOINES, IA 50317
(515) 262-1094
(515) 262-2610
Mailing address
2566 HUBBELL AVE, DES MOINES, IA 50317
(515) 262-1094
(515) 262-2610

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01842
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3038091
IA
05
5038091
IA
05
6038091
IA
05
7038091
IA
Enumeration date
05/08/2006
Last updated
02/19/2008
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