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1356759419
ALYSSA MICHELLE BOLGER
JOHNSTON, IA
NPI
1356759419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 072530)
Enumeration Date
2014-07-31
Last Update Date
2015-11-09
Business Address
-- ALYSSA MICHELLE BOLGER DPT
5627 NW 86TH ST #200
JOHNSTON, IA 50131-1738
Phone number: 515-270-0303
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Mailing Address
-- ALYSSA MICHELLE BOLGER DPT
4465 MEADOW VALLEY DR
WEST DES MOINES, IA 50265-2083
Phone number: 515-306-7215
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