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1407107865
SANDRA KATHRYN BROKAW
INDIANOLA, IA
NPI
1407107865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 004802)
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
Business Address
Miss SANDRA KATHRYN BROKAW PTA
708 S JEFFERSON WAY
INDIANOLA, IA 50125-3216
Phone number: 515-962-2555
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Mailing Address
Miss SANDRA KATHRYN BROKAW PTA
2225 GRAND AVE APT 104
DES MOINES, IA 50312-5316
Phone number: 515-991-4261
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