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1093994261
JANELLE RAE BRUNGARDT
CARROLL, IA
NPI
1093994261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 000777)
Enumeration Date
2007-10-24
Last Update Date
2007-10-24
Business Address
Mrs. JANELLE RAE BRUNGARDT COTA/L
2241 NORTHWEST STREET
CARROLL, IA 51401
Phone number: 712-792-9284
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Mailing Address
Mrs. JANELLE RAE BRUNGARDT COTA/L
2241 NORTHWEST STREET
CARROLL, IA 51401
Phone number: 712-792-9284
Copy