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1013614858
MARISSA STALDER
WATERLOO, IA
NPI
1013614858
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Former Name
MARISSA GLEEMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 098963)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
MARISSA STALDER
3560 KIMBALL AVE
WATERLOO, IA 50702-5733
Phone number: 319-233-6995
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Mailing Address
MARISSA STALDER
850 43RD AVE STE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070
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