Individual
STARLETTE JESSICA YEHINOU DOSSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 MERCY DR # 210, COUNCIL BLUFFS, IA 51503-3128
(712) 329-5700
(712) 329-5759
Mailing address
201 RIDGE ST STE 307, COUNCIL BLUFFS, IA 51503-4643
(712) 329-5700
(712) 329-5759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002443
IA
363A00000X
Physician Assistant
1764
NE
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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