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1972195857
FAITH ROCHELLE THEDFORD
FORT DODGE, IA
NPI
1972195857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: IA AG01210113)
Enumeration Date
2021-02-11
Last Update Date
2021-02-11
Business Address
Ms. FAITH ROCHELLE THEDFORD NP
1906 6TH AVE N
FORT DODGE, IA 50501-3557
Phone number: 515-227-1857
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Mailing Address
Ms. FAITH ROCHELLE THEDFORD NP
1906 6TH AVE N
FORT DODGE, IA 50501-3557
Phone number: 515-227-1857
Copy
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