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1023609690
BETSY LUCILLE VAN HAAFTEN
JOHNSTON, IA
NPI
1023609690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IA 106508)
Enumeration Date
2021-01-27
Last Update Date
2023-01-11
Business Address
BETSY LUCILLE VAN HAAFTEN PA-C
5705 NW 100TH ST STE 100
JOHNSTON, IA 50131-1813
Phone number: 515-726-3376
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Mailing Address
BETSY LUCILLE VAN HAAFTEN PA-C
6500 UNIVERSITY AVE UNIT 309
DES MOINES, IA 50324-1664
Phone number: 641-780-0473
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