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1992402655
SHANE T EBERHARDT
WEST BURLINGTON, IA
NPI
1992402655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA G173329)
Enumeration Date
2023-02-13
Last Update Date
2023-03-01
Business Address
Mr. SHANE T EBERHARDT N.P
1706 W AGENCY RD
WEST BURLINGTON, IA 52655-1667
Phone number: 319-768-5858
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Mailing Address
Mr. SHANE T EBERHARDT N.P
1706 W AGENCY RD
WEST BURLINGTON, IA 52655-1667
Phone number: 319-768-5858
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