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1275011041
GRACE KATHRYN HERBOLD
SIOUX CITY, IA
NPI
1275011041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 092424)
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
GRACE KATHRYN HERBOLD DPT
915 PIERCE ST
SIOUX CITY, IA 51101-1031
Phone number: 712-234-8760
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Mailing Address
GRACE KATHRYN HERBOLD DPT
PO BOX 1533
SIOUX CITY, IA 51102-1533
Phone number: 712-234-8760
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