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1609096627
CARRIE MARIE VANQUATHEM
JOHNSTON, IA
NPI
1609096627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 02595)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
CARRIE MARIE VANQUATHEM MS, PT
5406 MERLE HAY RD
JOHNSTON, IA 50131-1209
Phone number: 515-727-8750
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Mailing Address
CARRIE MARIE VANQUATHEM MS, PT
4105 80TH ST
URBANDALE, IA 50322-2419
Phone number: 515-727-2348
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