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1093245193
RANDI DECAP
DAVENPORT, IA
NPI
1093245193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 004800)
Enumeration Date
2017-06-13
Last Update Date
2017-06-13
Business Address
RANDI DECAP PTA
6701 JERSEY RIDGE RD
DAVENPORT, IA 52807-3203
Phone number: 563-324-1621
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Mailing Address
RANDI DECAP PTA
504 N 8TH ST
LE CLAIRE, IA 52753-8601
Phone number:
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