ProviderBusinessMailingAddressFaxNumber = '8173592096'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1477513059
CENTERS FOR LONG TERM CARE OF IOWA
PO BOX 155635
FORT WORTH
TX
761550635
1568421550
CENTERS FOR LONG TERM CARE OF IOWA, INC
PO BOX 155635
FORT WORTH
TX
761550635
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