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1083627566
LORI HERBST
DUBUQUE, IA
NPI
1083627566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 000158)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- LORI HERBST
1150 OAK ST
DUBUQUE, IA 52003-7461
Phone number: 563-580-9774
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Mailing Address
-- LORI HERBST
1150 OAK ST
DUBUQUE, IA 52003-7461
Phone number: 563-580-9774
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