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Organization

CALAMITY ROSE RANCH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAYLA LEA CARLSTEN PMHNP (OWNER OF CALAMITY ROSE RANCH LLC)
(563) 261-4434
Entity
Organization

Contact information

Practice address
701 ORANGE ST, MUSCATINE, IA 52761-4358
(563) 261-4434
Mailing address
1612 TAYLOR AVE, MUSCATINE, IA 52761-9789
(563) 261-4434

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P10007816021
IA
Enumeration date
03/27/2024
Last updated
03/27/2024
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