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1508970047
MICHAEL LAVELLE
DES MOINES, IA
NPI
1508970047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 01665)
Enumeration Date
2006-08-19
Last Update Date
2014-09-05
Business Address
-- MICHAEL LAVELLE MSPT
3310 SW 9TH ST
DES MOINES, IA 50315-7647
Phone number: 515-244-5005
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Mailing Address
-- MICHAEL LAVELLE MSPT
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-244-5005
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