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1114042215
MOLLY MICHELLE MCDONALD
FAYETTE, IA
NPI
1114042215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00467)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Ms. MOLLY MICHELLE MCDONALD ATC, LAT
605 WASHINGTON ST
FAYETTE, IA 52142-9206
Phone number: 563-425-5382
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Mailing Address
Ms. MOLLY MICHELLE MCDONALD ATC, LAT
509 BAKER DR
CEDAR FALLS, IA 50613-1708
Phone number: 563-380-4945
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