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1750837969
BETHANY STAFFORD
WATERLOO, IA
NPI
1750837969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IA H-121407)
Enumeration Date
2016-08-28
Last Update Date
2016-09-07
Business Address
-- BETHANY STAFFORD
1825 LOGAN AVE SUITE 201
WATERLOO, IA 50703-1916
Phone number: 319-235-3838
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Mailing Address
-- BETHANY STAFFORD
1825 LOGAN AVE SUITE 201
WATERLOO, IA 50703-1916
Phone number: 319-235-3838
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