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1477691160
KELLY M WIIG
STORM LAKE, IA
NPI
1477691160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 997)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
KELLY M WIIG PTA
315 W 5TH ST
STORM LAKE, IA 50588-1743
Phone number: 712-732-7725
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Mailing Address
KELLY M WIIG PTA
4385 HIGHWAY 20
CORRECTIONVILLE, IA 51016-8028
Phone number: 712-732-7725
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