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Individual

EUNICE JOAN MENNENOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(712) 563-2611
(712) 563-3078
Mailing address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(712) 563-2611
(712) 563-3078

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001959
IA

Other

Enumeration date
03/24/2006
Last updated
09/15/2009
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