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Individual

CAROL BELLOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9017
(641) 437-3399
(641) 437-3403
Mailing address
1 ST. JOSEPH'S DRIVE, CENTERVILLE, IA 52544
(641) 437-3399
(641) 437-3403

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111111
IA

Other

Enumeration date
09/08/2009
Last updated
09/08/2009
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