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NPI Code Detail

MEDICARE: RITA L GULBRANSON

MEDICARE:   RITA L GULBRANSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173C00000XReflexologist03466IA
2174400000XSpecialist03466IA

General Provider Information

NPI Number : 1639342660
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA L GULBRANSON
Provider Business Mailing Address
First Line : 7523 TWIN LAKES RD
Second Line :
City : MANSON
State : IA
Zip : 50563-7008
Country : US
Telephone Number : 712-297-5089
Fax Number :
Provider Business Practice Location Address
First Line : 705 N 15TH ST
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-3344
Country : US
Telephone Number : 515-576-1176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2008
Last Update Date : 04/10/2008

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Directions to “ RITA L GULBRANSON ” Practice Location

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