Organization
MAPLE VALLEY - ANTHON OTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONA KLINGENSMITH (BUSINESS MANAGER)
(712) 373-5246
Entity
Organization
Contact information
Practice address
110 W DIVISION ST, ANTHON, IA 51004-8192
(712) 881-1315
Mailing address
501 S 7TH ST, MAPLETON, IA 51034-1138
(712) 881-1315
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/05/2014
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