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Individual

ANTYONAE MARIE MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1161 14TH PL # 2, DES MOINES, IA 50314-1231
(515) 771-1031
Mailing address
1161 14TH PL # 2, DES MOINES, IA 50314-1231
(515) 771-1031

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/11/2010
Last updated
06/11/2010
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Product
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  • Eligibility checks
  • EDI platform