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Individual

CAROLE JEAN DWYER

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
1000 JACKSON ST, SIOUX CITY, IA 51105-1431
(712) 252-0501
(712) 252-2024
Mailing address
1000 JACKSON ST, SIOUX CITY, IA 51105-1431
(712) 252-0501
(712) 252-2024

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F080944
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0432658
IA
Enumeration date
08/17/2005
Last updated
10/19/2007
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