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1437719937
BRUCE WILLIAM BOEHM
KNOXVILLE, IA
NPI
1437719937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: IA 630299)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
Mr. BRUCE WILLIAM BOEHM
205 N IOWA ST
KNOXVILLE, IA 50138-2833
Phone number: 641-842-4618
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Mailing Address
Mr. BRUCE WILLIAM BOEHM
PO BOX 287
KNOXVILLE, IA 50138-0287
Phone number: 641-842-4618
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