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Individual

AMY J GOULET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2377 CUMBERLAND SQUARE DR, BETTENDORF, IA 52722-3251
(563) 359-9541
(563) 344-3914
Mailing address
2377 CUMBERLAND SQUARE DR, BETTENDORF, IA 52722-3251
(563) 359-9541
(563) 344-3914

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06715
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0450536
IA
01
1477566404
GROUP NPI
IA
Enumeration date
04/17/2006
Last updated
04/28/2008
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