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1477019446
LORRAINE CHIDESTER
JOHNSTON, IA
NPI
1477019446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA G155077)
Enumeration Date
2019-02-14
Last Update Date
2022-10-04
Business Address
LORRAINE CHIDESTER APRN, PMHNP
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131-2953
Phone number: 515-368-7504
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Mailing Address
LORRAINE CHIDESTER APRN, PMHNP
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131-2953
Phone number: 515-368-7504
Copy
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