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1740617406
LISA MARIE GARLOCK
DAVENPORT, IA
NPI
1740617406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 001225)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
LISA MARIE GARLOCK PTA
700 WAVERLY RD
DAVENPORT, IA 52804-4317
Phone number: 563-324-1651
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Mailing Address
LISA MARIE GARLOCK PTA
700 WAVERLY RD
DAVENPORT, IA 52804-4317
Phone number: 563-324-1651
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