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1629458302
SHANNA RUTH ELLIOTT
WATERLOO, IA
NPI
1629458302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-10280)
Enumeration Date
2015-06-08
Last Update Date
2015-06-08
Business Address
SHANNA RUTH ELLIOTT DO
2055 KIMBALL AVE SUITE 101
WATERLOO, IA 50702
Phone number: 319-272-2112
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Mailing Address
SHANNA RUTH ELLIOTT DO
2055 KIMBALL AVE SUITE 101
WATERLOO, IA 50702
Phone number: 319-272-2112
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