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1013108968
JESSICA KATHLEEN GUMM
CLIVE, IA
NPI
1013108968
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Former Name
JESSICA KATHLEEN BAADE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 004074)
Enumeration Date
2007-08-06
Last Update Date
2014-09-11
Business Address
-- JESSICA KATHLEEN GUMM PT
1601 NW 114TH STREET SUITE 155
CLIVE, IA 50325-7046
Phone number: 515-222-7350
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Mailing Address
-- JESSICA KATHLEEN GUMM PT
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-222-7350
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