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Individual

JULIE DIANE PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
604 LIBERTY ST, SUITE 229, PELLA, IA 50219-1775
(641) 621-1122
(641) 621-1177
Mailing address
PO BOX 4250, DES MOINES, IA 50333-4250
(515) 243-2057
(515) 244-5570

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002010
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002010
LICENSE
IA
Enumeration date
03/11/2010
Last updated
03/11/2010
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