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1497061170
LAMPHOUN LATA
DES MOINES, IA
NPI
1497061170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 001442)
Enumeration Date
2010-08-19
Last Update Date
2010-08-19
Business Address
-- LAMPHOUN LATA PTA
5921 SE 14TH ST STE 2000
DES MOINES, IA 50320-1728
Phone number: 515-965-5311
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Mailing Address
-- LAMPHOUN LATA PTA
5921 SE 14TH ST STE 2000
DES MOINES, IA 50320-1728
Phone number: 515-965-5311
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