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1194313510
MARANDA J AMBROSE
VINTON, IA
NPI
1194313510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 005118)
Enumeration Date
2021-01-03
Last Update Date
2021-01-03
Business Address
MARANDA J AMBROSE LPTA
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6200
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Mailing Address
MARANDA J AMBROSE LPTA
103 WILSON ST
DYSART, IA 52224-9652
Phone number: 319-594-4186
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