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Individual

CAROL A WADSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
611 10TH AVE N, HUMBOLDT, IA 50548-1462
(515) 332-5082
Mailing address
205 5TH ST N, HUMBOLDT, IA 50548-1649
(515) 332-1162

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17327
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0098673
IA
Enumeration date
04/24/2007
Last updated
07/09/2007
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