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1457988875
KIRSTAN MARIE WANNINGER
CEDAR RAPIDS, IA
NPI
1457988875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A158389)
Enumeration Date
2020-03-25
Last Update Date
2020-06-09
Business Address
KIRSTAN MARIE WANNINGER
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402-5064
Phone number: 319-363-3565
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Mailing Address
KIRSTAN MARIE WANNINGER
855 A AVE NE STE 400
CEDAR RAPIDS, IA 52402-5064
Phone number:
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