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Individual

KASANDRA HUMBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
(641) 424-0783
Mailing address
PO BOX 293, VENTURA, IA 50482-0293
(641) 512-5285

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140250
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140250
REGISTERED NURSE LICENSE
IA
Enumeration date
02/15/2022
Last updated
02/15/2022
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