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1053782607
BRANDON ROSA
DES MOINES, IA
NPI
1053782607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 074037)
Enumeration Date
2015-10-08
Last Update Date
2015-10-08
Business Address
-- BRANDON ROSA
5921 SE 14TH ST # 2000
DES MOINES, IA 50320-1746
Phone number: 515-953-0024
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Mailing Address
-- BRANDON ROSA
5921 SE 14TH ST # 2000
DES MOINES, IA 50320-1746
Phone number:
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