Individual
DR. NICHOLE DANIELLE GEVOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
119 W 2ND ST, OTTUMWA, IA 52501-2502
(641) 954-8598
Mailing address
119 W 2ND ST, OTTUMWA, IA 52501-2502
(641) 954-8598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
084409
IA
Other
Enumeration date
11/23/2016
Last updated
05/12/2017
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