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1144862160
ERIC L NEWSOM
WAVERLY, IA
NPI
1144862160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IA 090595)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
ERIC L NEWSOM OTR/L
217 E BREMER AVE
WAVERLY, IA 50677-3435
Phone number: 319-352-4544
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Mailing Address
ERIC L NEWSOM OTR/L
217 E BREMER AVE
WAVERLY, IA 50677-3435
Phone number: 319-352-4544
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