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Individual
REBECCA J. SWELLA SMEDSRUD
Active
Individual
REBECCA J. SWELLA SMEDSRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05780
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15201
WELLMARK I.D. NO.
—
01
—
A05780
CHIROPRACTIC LICENSE NO.
IA
Enumeration date
01/19/2006
Last updated
09/26/2007
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