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Individual

MARTINE RENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1643 GLADE DR SW, ALTOONA, IA 50009-1140
(515) 681-1350
Mailing address
1643 GLADE DR SW, ALTOONA, IA 50009-1140
(515) 681-1350

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
145325
IA

Other

Enumeration date
03/09/2021
Last updated
03/09/2021
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