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1477608917
SHANNON MARIE BROSTAD
DES MOINES, IA
NPI
1477608917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03523)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
SHANNON MARIE BROSTAD PT
1801 HICKMAN RD
DES MOINES, IA 50314-1548
Phone number: 515-282-5621
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Mailing Address
SHANNON MARIE BROSTAD PT
4015 FAGEN DR
DES MOINES, IA 50310-4047
Phone number: 515-276-6676
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