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1255701660
SHANNON MARIE KUSSATZ
IOWA CITY, IA
NPI
1255701660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A097371)
Enumeration Date
2015-09-28
Last Update Date
2018-05-18
Business Address
SHANNON MARIE KUSSATZ N.P.
200 HAWKINS DR
IOWA CITY, IA 52242
Phone number: 319-356-3758
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Mailing Address
SHANNON MARIE KUSSATZ N.P.
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-3758
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