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1740591411
PHILLIP MCCULLOUGH
WEST DES MOINES, IA
NPI
1740591411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 004576)
Enumeration Date
2010-06-28
Last Update Date
2017-07-17
Business Address
-- PHILLIP MCCULLOUGH DPT
5700 UNIVERSITY AVE STE 222
WEST DES MOINES, IA 50266-8276
Phone number: 515-221-1621
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Mailing Address
-- PHILLIP MCCULLOUGH DPT
850 43RD AVE STE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070
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