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1609620178
GRACE ROSE BRENNECKE
WEST DES MOINES, IA
NPI
1609620178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IA 124018)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
GRACE ROSE BRENNECKE
6800 LAKE DR STE 270
WEST DES MOINES, IA 50266-2504
Phone number: 515-225-6212
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Mailing Address
GRACE ROSE BRENNECKE
6800 LAKE DR STE 270
WEST DES MOINES, IA 50266-2504
Phone number: 515-225-6212
Copy
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