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1770152639
KEISHA MARIE FREDREGILL
INDIANOLA, IA
NPI
1770152639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IA H164076)
Enumeration Date
2021-06-23
Last Update Date
2021-06-23
Business Address
KEISHA MARIE FREDREGILL NP
401 E 16TH AVE
INDIANOLA, IA 50125-9704
Phone number: 515-664-7408
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Mailing Address
KEISHA MARIE FREDREGILL NP
401 E 16TH AVE
INDIANOLA, IA 50125-9704
Phone number: 515-664-7408
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