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Individual

MRS. GLORIA GENE NESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4614 84TH ST, URBANDALE, IA 50322-1089
(515) 270-6838
(515) 270-8051
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(866) 377-7006

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000922
IA

Other

Enumeration date
03/12/2013
Last updated
03/12/2013
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