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1043419567
DEBRA ICE
ATLANTIC, IA
NPI
1043419567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 00511)
Enumeration Date
2007-07-13
Last Update Date
2007-07-13
Business Address
-- DEBRA ICE
1200 BROOKRIDGE CIR
ATLANTIC, IA 50022-2304
Phone number: 615-896-6400
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Mailing Address
-- DEBRA ICE
PO BOX 244
HARLAN, IA 51537-0244
Phone number: 712-235-2107
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