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Individual

JAMES OLIVER CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
712 W MAIN ST, MANCHESTER, IA 52057-1525
(563) 822-1435
Mailing address
2274 185TH AVE, MANCHESTER, IA 52057-8628
(612) 968-8353

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218705-7
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
D172514
IA

Other

Enumeration date
10/06/2022
Last updated
06/29/2023
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