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1679910004
BRAD DOUGLAS COSNER
DES MOINES, IA
NPI
1679910004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 001201)
Enumeration Date
2013-05-24
Last Update Date
2013-05-24
Business Address
Mr. BRAD DOUGLAS COSNER LPTA
4911 SW 19TH ST
DES MOINES, IA 50315-4487
Phone number: 515-285-2559
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Mailing Address
Mr. BRAD DOUGLAS COSNER LPTA
4911 SW 19TH ST
DES MOINES, IA 50315-4487
Phone number: 515-285-2559
Copy
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