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Individual

STEPHANIE JYNELLE IMHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2630 KELLOGG AVE, AMES, IA 50010-4725
(515) 247-3750
Mailing address
2630 KELLOGG AVE, AMES, IA 50010-4725
(515) 247-3750

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177546
IA

Other

Enumeration date
05/18/2026
Last updated
05/18/2026
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