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Individual

DR. TERESA CLAIRE GUBERNATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1214 CENTRAL AVE, FORT DODGE, IA 50501-4246
(515) 576-3322
Mailing address
1214 CENTRAL AVE, FORT DODGE, IA 50501-4246
(515) 576-3322

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007023
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007023
IOWA STATE LICENSE
IA
Enumeration date
11/09/2007
Last updated
11/09/2007
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