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JOHN W. ANDERSON
Home Modifications >> Contractor >> Other Service ProvidersRegistrant NPI Number: 1346552676
Individual Registrant: JOHN W. ANDERSON
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
112 CENTER AVE S MITCHELLVILLE, IA 50169-9765 US
Tel: 515-967-1670 Fax: 515-967-1670
Tel: 515-967-1670 Fax: 515-967-1670
Contact information for business:
112 CENTER AVE S MITCHELLVILLE, IA 50169-9765 US
Tel: 515-967-1670 Fax: 515-967-1670
Tel: 515-967-1670 Fax: 515-967-1670
Registration Information:
NPI: 1346552676
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171WH0202X | Other Service Providers Contractor Home Modifications | IA | 489DLC-386310 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
