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1427648955
OPTIMAL T CB LLC
COUNCIL BLUFFS, IA
NPI
1427648955
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Entity Type
Organization
Authorized Contact
LORI STEPHENS
Access Manager
712-256-5544
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
OPTIMAL T CB LLC
1030 WRIGHT RD STE 3
COUNCIL BLUFFS, IA 51501-8804
Phone number: 712-256-5544
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Mailing Address
OPTIMAL T CB LLC
1030 WRIGHT RD STE 3
COUNCIL BLUFFS, IA 51501-8804
Phone number: 712-256-5544
Copy
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