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Individual

MELISSA IEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT

Contact information

Practice address
211 ELM ST, LAKESIDE, IA 50588-7737
(402) 910-8243
Mailing address
211 ELM ST, LAKESIDE, IA 50588-7737

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
000973
IA

Other

Enumeration date
03/07/2016
Last updated
03/07/2016
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