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1083248611
RICARDO ANDREOTTI BODRA
DES MOINES, IA
NPI
1083248611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 109562)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-02-22
Last Update Date
2021-11-21
Business Address
RICARDO ANDREOTTI BODRA PA-C
1350 DES MOINES ST STE 110
DES MOINES, IA 50309-5507
Phone number: 515-643-0833
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Mailing Address
RICARDO ANDREOTTI BODRA PA-C
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-0833
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