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1508648940
MARICELDA FOGT
DES MOINES, IA
NPI
1508648940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WR0400X Registered Nurse Rehabilitation
(Licence: IA 117442)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
MARICELDA FOGT RN
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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Mailing Address
MARICELDA FOGT RN
209 RAINBOW DR
MARSHALLTOWN, IA 50158-4080
Phone number: 641-691-4582
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