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Individual

RAE GENE HOVENGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-4120
Mailing address
121 E VINE ST, CLARKSVILLE, IA 50619-7906

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A174111
IA

Other

Enumeration date
05/02/2023
Last updated
05/02/2023
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