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Individual

DOREEN A PEDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
824 FLINDT DR, SUITE 103, STORM LAKE, IA 50588-3208
(712) 732-3736
(712) 732-3275
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
(712) 262-3826

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
087128
IA

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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