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Individual

SUSZANNE RAE KEASLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924
Mailing address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
078387
IA

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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