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1265069124
VIRGINIA MICHAEL
JOHNSTON, IA
NPI
1265069124
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Former Name
VIRGINIA BANTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IA 099519)
Enumeration Date
2020-03-23
Last Update Date
2022-02-14
Business Address
VIRGINIA MICHAEL OTR
5406 MERLE HAY RD
JOHNSTON, IA 50131-1209
Phone number: 515-331-4517
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Mailing Address
VIRGINIA MICHAEL OTR
5406 MERLE HAY RD
JOHNSTON, IA 50131-1209
Phone number: 515-331-4517
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