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1174014369
GINA MICHELLE LATHAM
CRESTON, IA
NPI
1174014369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A104467)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
Mrs. GINA MICHELLE LATHAM FNP-C
1700 W TOWNLINE ST
CRESTON, IA 50801-1054
Phone number: 641-782-7091
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Mailing Address
Mrs. GINA MICHELLE LATHAM FNP-C
1700 W TOWNLINE ST
CRESTON, IA 50801-1054
Phone number: 641-782-3657
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