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1457801326
KELLI DESERANO
WATERLOO, IA
NPI
1457801326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IA A121659)
Enumeration Date
2016-10-04
Last Update Date
2022-02-04
Business Address
KELLI DESERANO ARNP
1015 S HACKETT RD
WATERLOO, IA 50701-3500
Phone number: 319-234-5990
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Mailing Address
KELLI DESERANO ARNP
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-235-5390
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