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1194782961
MATTHEW RAY DEWALL
INDIANOLA, IA
NPI
1194782961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03373)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
-- MATTHEW RAY DEWALL MPT CSCS
1507 NORTH 1ST ST
INDIANOLA, IA 50125
Phone number: 515-382-3366
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Mailing Address
-- MATTHEW RAY DEWALL MPT CSCS
PO BOX 461
NEVADA, IA 50201-0461
Phone number: 515-382-3366
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