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Organization

COUNTY OF BLACK HAWK

Active
Other names
Black Hawk County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAFISSA CISSE EGBUONYE (DIRECTOR)
(319) 291-2413
Entity
Organization

Contact information

Practice address
1407 INDEPENDENCE AVE, 5TH FLOOR, WATERLOO, IA 50703-4396
(319) 291-2413
(319) 291-2418
Mailing address
1407 INDEPENDENCE AVE, 5TH FLOOR, WATERLOO, IA 50703-4396
(319) 291-2413
(319) 291-2418

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0186304
IA
Enumeration date
03/19/2007
Last updated
02/05/2019
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