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1235797788
CRAIG D BULTMAN
INDIANOLA, IA
NPI
1235797788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 005130)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
CRAIG D BULTMAN PTA
306 E SCENIC VALLEY AVE
INDIANOLA, IA 50125-4865
Phone number: 515-512-9225
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Mailing Address
CRAIG D BULTMAN PTA
6601 WESTOWN PKWY STE 200
WEST DES MOINES, IA 50266-7733
Phone number: 515-512-9225
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