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1477073179
STACI LYNN FOSENBURG
DES MOINES, IA
NPI
1477073179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2017-06-23
Last Update Date
2023-04-17
Business Address
STACI LYNN FOSENBURG Ph.D.
3509 E 29TH ST
DES MOINES, IA 50317-4253
Phone number: 515-248-1600
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Mailing Address
STACI LYNN FOSENBURG Ph.D.
1200 UNIVERSITY AVE STE 200
DES MOINES, IA 50314-2355
Phone number: 515-248-1447
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