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Individual

MR. JACK L MORLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1900 GRAND AVE, WEST DES MOINES, IA 50265-4217
(515) 457-9534
(515) 273-5166
Mailing address
1900 GRAND AVE, WEST DES MOINES, IA 50265-4217
(515) 457-9534
(515) 273-5166

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A9282

Other

Enumeration date
07/05/2013
Last updated
07/05/2013
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