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Individual

CHARITY VANCLEVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1880 RADFORD RD STE 4, DUBUQUE, IA 52002-2272
(563) 587-8317
(563) 587-8319
Mailing address
1880 RADFORD RD STE 4, DUBUQUE, IA 52002-2272
(563) 587-8317
(563) 587-8319

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03815
IA

Other

Enumeration date
11/01/2013
Last updated
03/17/2018
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