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1114784865
TAYLOR THACKER
BETTENDORF, IA
NPI
1114784865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A177749)
Enumeration Date
2024-02-29
Last Update Date
2024-03-21
Business Address
TAYLOR THACKER FNP-C
770 TANGLEFOOT LN
BETTENDORF, IA 52722-1608
Phone number: 563-241-7443
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Mailing Address
TAYLOR THACKER FNP-C
1120 WILLANY DR
CLINTON, IA 52732-3302
Phone number: 563-451-5960
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