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Individual

DEBRA DIETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CDE

Contact information

Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5549
Mailing address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5549

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
060680
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060680
IA LICENSE
IA
Enumeration date
05/12/2017
Last updated
05/12/2017
About Stedi
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Product
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  • EDI platform