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Individual

KYLE T. TEVEBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
320 N GRANDVIEW AVE, SUITE D, DUBUQUE, IA 52001-6328
(563) 583-9300
Mailing address
1515 DELHI ST, STE 100, DUBUQUE, IA 52001-6389
(563) 557-9111
(563) 589-4046

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IA

Other

Enumeration date
02/20/2017
Last updated
02/20/2017
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