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1134472251
DIANE REBECCA HINDERAKER
AMES, IA
NPI
1134472251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
Mrs. DIANE REBECCA HINDERAKER BA
712 BURNETT AVE
AMES, IA 50010-6128
Phone number: 515-233-5048
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Mailing Address
Mrs. DIANE REBECCA HINDERAKER BA
712 BURNETT AVE
AMES, IA 50010-6128
Phone number: 515-233-5048
Copy
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