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Individual

DR. VICKI LEA SOUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
419 N. GRANDVIEW AVE., STE 200, DUBUQUE, IA 52001
(563) 585-0800
Mailing address
419 N. GRANDVIEW AVE., STE 200, DUBUQUE, IA 52001
(563) 585-0800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06693
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0456202
IA
01
37998
WELLMARK
IA
Enumeration date
01/10/2007
Last updated
07/08/2007
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