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1568572964
TIMOTHY JAMES LUNDBERG
URBANDALE, IA
NPI
1568572964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03718)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
TIMOTHY JAMES LUNDBERG DPT
15931 HAMMONTREE DR
URBANDALE, IA 50323-2260
Phone number: 515-987-1428
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Mailing Address
TIMOTHY JAMES LUNDBERG DPT
15931 HAMMONTREE DR
URBANDALE, IA 50323-2260
Phone number:
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