GREGORY PANKRUKHIN

URBANDALE, IA
NPI1679130348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2019-05-28
Last Update Date2019-05-28
Business Address
GREGORY PANKRUKHIN
4614 84TH ST
URBANDALE, IA 50322-1089
Phone number: 515-270-6838
Mailing Address
GREGORY PANKRUKHIN
260 NE FOX RUN TRL
WAUKEE, IA 50263-7106
Phone number: 515-770-1008
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