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Individual

MR. MASOODE S NIKSERESHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R. PH.

Contact information

Practice address
600 SENATE AVE, RED OAK, IA 51566-1283
(712) 623-1900
(712) 623-5245
Mailing address
600 SENATE AVE, RED OAK, IA 51566-1283
(712) 623-1900
(712) 623-5245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16878
IA

Other

Enumeration date
11/06/2008
Last updated
11/06/2008
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