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Individual

THOMAS C QUESNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
1227 E RUSHOLME ST, DEPT OF SPEECH AND HEARING, DAVENPORT, IA 52803-2459
(563) 421-1400
(563) 421-1410
Mailing address
1915 18TH ST, BETTENDORF, IA 52722-3716
(563) 421-1400
(563) 421-1410

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
415
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
717
HEARING AID DEALER LIC
IA
Enumeration date
04/23/2007
Last updated
07/08/2007
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