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1487208641
TY WAGG
MUSCATINE, IA
NPI
1487208641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-07-26
Last Update Date
2019-07-26
Business Address
TY WAGG
2109 CEDARWOOD DR STE 100
MUSCATINE, IA 52761-2670
Phone number: 563-288-6787
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Mailing Address
TY WAGG
850 43RD AVE STE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070
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