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Clinic County Clinic Name Clinic City Participant County Participant Clinic County Clinic Name Clinic City Participant Participant Enrollment Status Fax Received Date County Gender ADAIR PIEARSON, TIMOTHY DR - IAM GREENFIELD ADAIR Female Accepted FC 3/15/2013 POTTAWATTAMIE DOWLING, TERESA MD - IAM COUNCIL BLUFFS ADAIR Female Accepted FC 3/27/2013 PAGE MARTINEZ, EFFIE CLARINDA ADAMS Not Asked Unreachable 3/21/2013 ALLAMAKEE PERKINS, STEVEN - IAM WAUKON ALLAMAKEE Female Accepted FC 3/12/2013 ALLAMAKEE STEGEN, JENNY PA - IAM WAUKON ALLAMAKEE Female Accepted FC 3/29/2013 APPANOOSE MERCY MEDICAL CLINIC CENTERVILLE APPANOOSE Female Declined FC 3/16/2013 APPANOOSE PARRISH, CASSIE ARNP - IAM CENTERVILLE APPANOOSE Male Accepted FC 3/2/2013 APPANOOSE PARRISH, CASSIE ARNP - IAM CENTERVILLE APPANOOSE Male Accepted FC 3/2/2013 CASS CARE FOR YOURSELF ATLANTIC APPANOOSE Not Asked Unreachable 3/19/2013 MONROE CURIEL, ALEJANDRO - IAM ALBIA APPANOOSE Male Accepted FC 3/7/2013 WAPELLO PUCKETT, JUSTIN - IAM KIRKVILLE APPANOOSE Male Accepted FC 3/12/2013 SHELBY CASS COUNTY PUBLIC HEALTH HARLAN AUDUBON Not Asked Unreachable 3/14/2013 BENTON ELGIN, MICHELLE - IAM VINTON BENTON Female Accepted FC 3/27/2013 BENTON HOFFMAN, JULIE ARNP - IAM SHELLSBURG BENTON Female Accepted FC 3/12/2013 BENTON HOFFMAN, JULIE ARNP - IAM SHELLSBURG BENTON Not Asked Active 3/27/2013 LINN BOWMAN WOODS FAMILY MEDICINE CEDAR RAPIDS BENTON Male Accepted FC 3/6/2013 LINN DRISCOLL, ALVINA MD CEDAR RAPIDS BENTON Not Asked Unreachable 3/19/2013 BLACK HAWK DAYLES, SARA MD - IAM WATERLOO BLACK HAWK Female Accepted FC 3/28/2013 BLACK HAWK PRANGER, ROBERT - IAM CEDAR FALLS BLACK HAWK Not Asked Unreachable 3/5/2013 BLACK HAWK SADLER, HELEN - IAM WATERLOO BLACK HAWK Female Accepted FC 3/20/2013 BLACK HAWK SMITH, MATTHEW - IAM WATERLOO BLACK HAWK Not Asked Unreachable 3/20/2013 BLACK HAWK ALLEN OB/GYN CLINIC WATERLOO BLACK HAWK Female Active 3/16/2013 BLACK HAWK BAHLMANN, ESTHER ARNP - IAM WATERLOO BLACK HAWK Male Accepted FC 3/21/2013 BLACK HAWK BERRY, CARRIE ARNP - IAM WATERLOO BLACK HAWK Female Accepted FC 3/21/2013 BLACK HAWK BERRY, CARRIE ARNP - IAM WATERLOO BLACK HAWK Male Accepted FC 3/29/2013 BLACK HAWK BERRY, CARRIE ARNP - IAM WATERLOO BLACK HAWK Male Accepted FC 3/5/2013 BLACK HAWK BERRY, CARRIE ARNP - IAM WATERLOO BLACK HAWK Female Accepted FC 3/20/2013 BLACK HAWK BUHR, BRENT DR - IAM WATERLOO BLACK HAWK Male Accepted FC 3/27/2013 BLACK HAWK CHRIST, MEREDITH - IAM WATERLOO BLACK HAWK Female Accepted FC 3/19/2013 BLACK HAWK CUE, RHONDA - IAM WATERLOO BLACK HAWK Female Accepted FC 3/8/2013 BLACK HAWK CUE, RHONDA - IAM WATERLOO BLACK HAWK Female Accepted FC 3/27/2013 BLACK HAWK CUE, RHONDA - IAM WATERLOO BLACK HAWK Female Accepted FC 3/20/2013 BLACK HAWK CUE, RHONDA - IAM WATERLOO BLACK HAWK Male Accepted FC 3/6/2013 BLACK HAWK DOUGLAS, SARA ARNP - IAM WATERLOO BLACK HAWK Not Asked Unreachable 3/21/2013 BLACK HAWK GOODWIN, ADAM DR - IAM WATERLOO BLACK HAWK Male Accepted FC 3/14/2013 BLACK HAWK KAISER, TARA ARNP - IAM CEDAR FALLS BLACK HAWK Female Accepted FC 3/26/2013 BLACK HAWK LIES, MARILYN MD - IAM EVANSDALE BLACK HAWK Female Accepted FC 3/27/2013 BLACK HAWK LIES, MARILYN MD - IAM EVANSDALE BLACK HAWK Female Unreachable 3/14/2013 BLACK HAWK MONROE, A ARNP - IAM WATERLOO BLACK HAWK Female Accepted FC 3/14/2013 BLACK HAWK NGUYEN, MARIA MD - IAM WATERLOO BLACK HAWK Female Accepted FC 3/20/2013 BLACK HAWK OPHEIM, KENT DR - IAM WATERLOO BLACK HAWK Female Accepted FC 3/19/2013 BLACK HAWK PASARIN, DR - IAM WATERLOO BLACK HAWK Female Active 3/12/2013 BLACK HAWK PATEL, HETAL DR - IAM WATERLOO BLACK HAWK Male Accepted FC 3/28/2013 BLACK HAWK PETERSON, JAMES - IAM CEDAR FALLS BLACK HAWK Female Unreachable 3/14/2013 BLACK HAWK RIADZAKY, ALFONSE DR - IAM WATERLOO BLACK HAWK Male Accepted FC 3/27/2013 Clinic County Clinic Name Clinic City Participant Participant Enrollment Status Fax Received Date County Gender BLACK HAWK SAKORNBUT, ELLEN MD - IAM WATERLOO BLACK HAWK Not Asked Unreachable 3/21/2013 BLACK HAWK SCHLEUDER, JULIANN - IAM WATERLOO BLACK HAWK Male Accepted FC 3/7/2013 BLACK HAWK SCHLEUDER, JULIANN - IAM WATERLOO BLACK HAWK Female Accepted FC 3/8/2013 BLACK HAWK SCHLEUDER, JULIANN - IAM WATERLOO BLACK HAWK Male Accepted FC 3/21/2013 BLACK HAWK SCHMIDT, KELLY DR CEDAR FALLS BLACK HAWK Not Asked Declined FC 3/22/2013 BLACK HAWK SINGH, DR - IAM WATERLOO BLACK HAWK Female Accepted FC 3/19/2013 BLACK HAWK STANDING, LARRY - IAM CEDAR FALLS BLACK HAWK Female Accepted FC 3/2/2013 BLACK HAWK SWISHER, ANN ARNP - IAM WATERLOO BLACK HAWK Male Accepted FC 3/26/2013 BLACK HAWK SWISHER, ANN ARNP - IAM WATERLOO BLACK HAWK Male Accepted FC 3/5/2013 BLACK HAWK SWISHER, ANN ARNP - IAM WATERLOO BLACK HAWK Not Asked Active 3/22/2013 BLACK HAWK SWISHER, ANN ARNP - IAM WATERLOO BLACK HAWK Female Unreachable 3/8/2013 BLACK HAWK TANDON, HIMANSHU - IAM WATERLOO BLACK HAWK Not Asked Active 3/30/2013 BLACK HAWK TJAZ, KIRAN - IAM WATERLOO BLACK HAWK Female Accepted FC 3/14/2013 BLACK HAWK VANDERKOOI, CARL - IAM CEDAR FALLS BLACK HAWK Female Accepted FC 3/14/2013 BLACK HAWK VISOKEY, DAVID DR - IAM WATERLOO BLACK HAWK Male Accepted FC 3/27/2013 BLACK HAWK YOUNG, DIANE ARNP - IAM WATERLOO BLACK HAWK Male Accepted FC 3/19/2013 JOHNSON SUBRAYAPPA, NAVIN - IAM IOWA CITY BLACK HAWK Male Accepted FC 3/19/2013 Not Available BOGDANIC, VINKO - IAM BLACK HAWK Not Asked Unreachable 3/14/2013 Not Available BONTHUIS, HEIDI - IAM BLACK HAWK Male Accepted FC 3/5/2013 Not Available BREITKREUZ, DAVID DR - IAM BLACK HAWK Male Accepted FC 3/20/2013 Not Available HENDERSON, DR - IAM BLACK HAWK Not Asked Active 3/28/2013 Not Available SCHRODT, DAVID - IAM BLACK HAWK Female Accepted FC 3/6/2013 BOONE VANDERMEIDE, ALEXANDRA - IAM BOONE BOONE Not Asked Unreachable 3/12/2013 BOONE VERMILLION, RICHARD - IAM OGDEN BOONE Male Accepted FC 3/7/2013 DALLAS CHRISTNER, ANGELA ARNP PERRY BOONE Male Unreachable 3/16/2013 POLK GORE, DR - IAM DES MOINES BOONE Male Active 3/27/2013 POLK MAANUM, SCOTT MD - IAM DES MOINES BOONE Female Accepted FC 3/12/2013 POLK MAANUM, SCOTT MD - IAM DES MOINES BOONE Male Accepted FC 3/12/2013 POLK MAANUM, SCOTT MD - IAM DES MOINES BOONE Female Accepted FC 3/27/2013 BLACK HAWK HENDERSON, VICKI - IAM WATERLOO BREMER Female Accepted FC 3/1/2013 BLACK HAWK MONROE, A ARNP - IAM WATERLOO BREMER Female Accepted FC 3/6/2013 BLACK HAWK SCHLEUDER, JULIANN - IAM WATERLOO BREMER Male Accepted FC 3/6/2013 JOHNSON FLAHERTY, DAWN DR - IAM IOWA CITY BREMER Female Accepted FC 3/7/2013 Not Available BOEVERS, JESSICA DR - IAM BREMER Not Asked Unreachable 3/12/2013 BLACK HAWK BUHR, BRENT DR - IAM WATERLOO BUCHANAN Female Accepted FC 3/19/2013 BLACK HAWK CUE, RHONDA - IAM WATERLOO BUCHANAN Female Accepted FC 3/14/2013 BLACK HAWK DUCLOS, SHARON - IAM WATERLOO BUCHANAN Not Asked Declined FC 3/29/2013 BLACK HAWK HENDERSON, VICKI - IAM WATERLOO BUCHANAN Male Accepted FC 3/29/2013 BLACK HAWK MONROE, A ARNP - IAM WATERLOO BUCHANAN Female Accepted FC 3/8/2013 BLACK HAWK SCHLEUDER, JULIANN - IAM WATERLOO BUCHANAN Female Accepted FC 3/21/2013 BUCHANAN MCCORMICK, RICK - IAM INDEPENDENCE BUCHANAN Male Accepted FC 3/12/2013 SAC GYANO, BERNADETTE - IAM SAC CITY BUENA VISTA Male Accepted FC 3/2/2013 WEBSTER BERRY HILL CENTER FOR MENTAL HEALTH FORT DODGE BUENA VISTA Female Accepted FC 3/20/2013 BLACK HAWK MONROE, A ARNP - IAM WATERLOO BUTLER Male Accepted FC 3/21/2013 BUTLER PROSE, HEIDI - IAM ALLISON BUTLER Male Accepted FC 3/5/2013 Clinic County Clinic Name Clinic City Participant Participant Enrollment Status Fax Received Date County Gender BUTLER PROSE, HEIDI - IAM ALLISON BUTLER Not Asked Active 3/30/2013 CALHOUN AMADOR, PABLOA MD - IAM LAKE CITY CARROLL Male Accepted FC 3/21/2013 CARROLL DICKMAN, DONALD - IAM CARROLL CARROLL Male Accepted FC 3/23/2013 WOODBURY PALLONE, STEPHEN DR - IAM SIOUX CITY CARROLL Male Accepted FC 3/30/2013 CASS HIXSON, SCOTT PAC MPAS - IAM ATLANTIC CASS Male Accepted FC 3/27/2013 DALLAS CFY PERRY CASS Not Asked Declined FC 3/19/2013 JOHNSON BANU, HUSSAIN MD - IAM IOWA CITY CEDAR Female Accepted FC 3/8/2013 CERRO GORDO MASOOD, SHUMAILA DR - IAM MASON CITY CERRO GORDO Not Asked Unreachable 3/28/2013 CERRO GORDO NGUYEN, TRUNG MD - IAM MASON CITY CERRO GORDO Male Accepted FC 3/27/2013 CERRO GORDO JEWELL, BRIANNA DO - IAM MASON CITY CERRO GORDO Male Accepted FC 3/15/2013 CERRO GORDO MIXDORF, TRACY - IAM CLEAR LAKE CERRO GORDO Female Accepted FC 3/22/2013 WEBSTER O'HANLON, ANDREA PAC - IAM FORT DODGE CERRO GORDO Male Accepted FC 3/20/2013 CHEROKEE VEIT, STEPHEN - IAM CHEROKEE CHEROKEE Female Accepted FC 3/21/2013 CHEROKEE RICE, TIMOTHY DR - IAM CHEROKEE CHEROKEE Not Asked Unreachable 3/5/2013 WOODBURY CFY - SIOUXLAND DISTRICT HEALTH DEPT SIOUX CITY CHEROKEE Female Accepted FC 3/14/2013 CHICKASAW BRINKMAN, LUCAS - IAM FREDERICKSBURG CHICKASAW Female Accepted FC 3/1/2013 POLK ASNER, YULIA DO - IAM DES MOINES CLARKE Male Accepted FC 3/14/2013 POLK MATSON, CHRISTOPHER DO - IAM DES MOINES CLARKE Female Accepted FC 3/29/2013 CLAY SATHER, SONIA DR - IAM SPENCER CLAY Female Accepted FC 3/7/2013 POCAHONTAS GEORGE, TED DR POCAHONTAS CLAY Female Accepted FC 3/26/2013 POCAHONTAS GEORGE, TED DR - IAM POCAHONTAS CLAY Female Unreachable 3/19/2013 ALLAMAKEE NESSEIM, BENJAMIN - IAM WAUKON CLAYTON Female Unreachable 3/15/2013 ALLAMAKEE NESSEIM, BENJAMIN - IAM WAUKON CLAYTON Female Unreachable 3/8/2013 DELAWARE CHRISTIANSEN, SCOT MD - IAM MANCHESTER CLAYTON Female Accepted FC 3/16/2013 Not Available MCDONAUGH, MAUREEN - IAM CLAYTON Female Unreachable 3/6/2013 CLINTON PLA, RAMON - IAM CLINTON CLINTON Male Accepted FC 3/5/2013 CLINTON PLA, RAMON - IAM CLINTON CLINTON Male Accepted FC 3/6/2013 CLINTON ROBINSON,
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