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1033230560
STEPHANIE LYNN COURSON POTHOVEN
CLIVE, IA
NPI
1033230560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IA DO-03795)
Enumeration Date
2007-04-02
Last Update Date
2021-09-13
Business Address
Dr. STEPHANIE LYNN COURSON POTHOVEN DO
12129 UNIVERSITY AVE STE 100
CLIVE, IA 50325-8287
Phone number: 515-400-3550
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Mailing Address
Dr. STEPHANIE LYNN COURSON POTHOVEN DO
12129 UNIVERSITY AVE STE 200
CLIVE, IA 50325-8287
Phone number: 515-400-3550
Copy
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