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1235667353
ERLENE ANN GANGESTAD
OTTUMWA, IA
NPI
1235667353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 00769)
Enumeration Date
2017-06-02
Last Update Date
2017-06-02
Business Address
ERLENE ANN GANGESTAD
3 PENNSYLVANIA PL VISTA WOODS
OTTUMWA, IA 52501
Phone number: 641-683-3372
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Mailing Address
ERLENE ANN GANGESTAD
7111 189TH ST
ALBIA, IA 52531-8770
Phone number: 641-226-1576
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