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1346288644
GRETCHEN LARSON SANDFORT
WEST DES MOINES, IA
NPI
1346288644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03201)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- GRETCHEN LARSON SANDFORT MPT
6000 UNIVERSITY AVE 250
WEST DES MOINES, IA 50266-8203
Phone number: 515-221-1102
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Mailing Address
-- GRETCHEN LARSON SANDFORT MPT
7817 DAKOTA CIR
WEST DES MOINES, IA 50266-2654
Phone number: 515-267-8118
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