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Individual

MRS. ROXANN JEAN HACKBARTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1004 21ST ST, SUITE #3, MILFORD, IA 51351-7421
(712) 338-6911
Mailing address
PO BOX 207, SUITE #3, MILFORD, IA 51351-0207

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-092068
IA

Other

Enumeration date
09/27/2011
Last updated
06/19/2015
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