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Individual

MADISON MARIE MANNEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-A

Contact information

Practice address
2600 WESTOWN PKWY STE 360, WEST DES MOINES, IA 50266-7306
(515) 267-1800
(515) 267-8857
Mailing address
2600 WESTOWN PKWY STE 360, WEST DES MOINES, IA 50266-7306
(515) 267-1800
(515) 267-8857

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
096199
IA
237600000X
Audiologist-Hearing Aid Fitter
099244
IA

Other

Enumeration date
07/14/2020
Last updated
07/14/2020
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