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Individual

MARY JO HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
115 8TH ST NE, CEDAR RAPIDS, IA 52401
(319) 363-3565
(319) 363-4001
Mailing address
115 8TH ST NE, CEDAR RAPIDS, IA 52401
(319) 363-3565
(319) 363-4001

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A081743
IA

Other

Enumeration date
01/13/2006
Last updated
07/08/2007
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