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1770335945
MACKENZIE DEOBALD
IOWA CITY, IA
NPI
1770335945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA 156898)
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
MACKENZIE DEOBALD Student
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1616
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Mailing Address
MACKENZIE DEOBALD Student
230 LEE ST
IOWA CITY, IA 52246-3810
Phone number: 208-841-5035
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