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1215187190
SHANNON MARIE WIELAND
ANKENY, IA
NPI
1215187190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03418)
Enumeration Date
2008-09-26
Last Update Date
2008-09-26
Business Address
-- SHANNON MARIE WIELAND
715 SW ANKENY RD
ANKENY, IA 50023-9798
Phone number: 515-965-1339
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Mailing Address
-- SHANNON MARIE WIELAND
715 SW ANKENY RD
ANKENY, IA 50023-9798
Phone number: 515-965-1339
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