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Organization

COUNTY OF OBRIEN

Active
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Organization

COUNTY OF OBRIEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA LOUISE YOUNGERS RN, BSN (NURSE ADMINSTRATOR)
(712) 957-0105
Entity
Organization

Contact information

Practice address
155 S HAYES AVENUE, PRIMGHAR, IA 51245
(712) 957-0105
(712) 957-0105
Mailing address
PO BOX 525, PRIMGHAR, IA 51245
(712) 957-0105
(712) 957-0105

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
A128751
IA

Other

Enumeration date
06/21/2005
Last updated
08/15/2013
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