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1841026440
MIMI LACOUTURE PLLC
DAVENPORT, IA
NPI
1841026440
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Entity Type
Organization
Authorized Contact
MICHELLE LACOUTURE
Pmhnp
563-340-8470
Organization Subpart ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
MIMI LACOUTURE PLLC
1225 E RIVER DR STE 205
DAVENPORT, IA 52803-5752
Phone number: 563-340-8470
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Mailing Address
MIMI LACOUTURE PLLC
PO BOX B
PLEASANT VALLEY, IA 52767-0401
Phone number: 563-340-8470
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