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Individual

JEAN R STAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
1220 CHATBURN AVE, HARLAN, IA 51537-2009
(712) 755-5130
(712) 755-4470
Mailing address
1213 GARFIELD AVE, HARLAN, IA 51537-2057
(712) 755-5161
(712) 755-4312

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
059321
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0475459
IA
Enumeration date
08/25/2006
Last updated
08/14/2007
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