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1679877021
RICHARD BRENT MONGAR
ANKENY, IA
NPI
1679877021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03688)
Enumeration Date
2010-12-28
Last Update Date
2024-10-18
Business Address
RICHARD BRENT MONGAR PT
350 NE 36TH ST
ANKENY, IA 50021-6728
Phone number: 515-224-1414
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Mailing Address
RICHARD BRENT MONGAR PT
6001 WESTOWN PARKWAY
WEST DES MOINES, IA 50266-7702
Phone number: 515-224-1414
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