Individual
KEN PAUL SWEETLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4620 YARROW AVE, SAINT ANSGAR, IA 50472-7513
(641) 324-9809
(641) 324-9809
Mailing address
4620 YARROW AVE, SAINT ANSGAR, IA 50472-7513
(641) 324-9809
(641) 324-9809
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
734AA3464
IA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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