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Individual

DANIEL WESTPHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1502 W 12TH ST, SPENCER, IA 51301-2928
(712) 363-7490
Mailing address
1502 W 12TH ST, SPENCER, IA 51301-2928

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
136620
IA

Other

Enumeration date
02/05/2016
Last updated
02/05/2016
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