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Individual

MRS. KATHERINE ALICIA THAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
7101 UNIVERSITY AVE, WINDSOR HEIGHTS, IA 50311-1436
(515) 279-9648
(515) 279-9691
Mailing address
917 SE 8TH ST, ANKENY, IA 50021-3652
(515) 963-0069

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19119
IA

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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