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Individual

BABINA MUDBHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5924 LORTON AVE, DAVENPORT, IA 52807-3532
(563) 549-1021
Mailing address
3415 53RD AVE, BETTENDORF, IA 52722-6976
(563) 742-4350

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A175141
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2023
Last updated
06/30/2023
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