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Individual

CASEY LYNNE CHARBONNEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
311 N 2ND AVE, LOGAN, IA 51546-1001
(712) 592-1718
Mailing address
311 N 2ND AVE, LOGAN, IA 51546-1001
(712) 592-1718

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
116275
NE
207Q00000X
Family Medicine Physician
A185374
IA

Other

Enumeration date
07/16/2025
Last updated
09/09/2025
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