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1417601576
SHANNON ANN THOMA
WATERLOO, IA
NPI
1417601576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IA A166862)
Enumeration Date
2022-02-08
Last Update Date
2024-04-18
Business Address
SHANNON ANN THOMA ARNP
209 E SAN MARNAN DR
WATERLOO, IA 50702-5840
Phone number: 319-236-8891
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Mailing Address
SHANNON ANN THOMA ARNP
209 E SAN MARNAN DR
WATERLOO, IA 50702-5840
Phone number: 319-236-8891
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