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Individual

JESSICA KAY HAUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
Mailing address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H-103650
IA

Other

Enumeration date
07/25/2011
Last updated
06/05/2012
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