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1295213007
SAMUEL RICHARD JAMES DEBOER
WAVERLY, IA
NPI
1295213007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 092492)
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
SAMUEL RICHARD JAMES DEBOER DPT
312 9TH ST SW
WAVERLY, IA 50677-2929
Phone number: 319-352-5644
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Mailing Address
SAMUEL RICHARD JAMES DEBOER DPT
906 1ST AVE NE
WAVERLY, IA 50677-2716
Phone number: 319-939-3810
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