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Individual

MS. DIANE MARIE CASSATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2900 DEVILS GLEN RD, BETTENDORF, IA 52722-3363
(563) 332-2983
(563) 332-0804
Mailing address
4834 SCHAEFER CT, BETTENDORF, IA 52722-6914
(563) 332-1247
(563) 332-0804

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C16889
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0123646
IA
Enumeration date
01/01/2007
Last updated
07/08/2007
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