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1740889724
CHRISTINE MARIE PRUISMANN
ANKENY, IA
NPI
1740889724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 098179)
Enumeration Date
2020-10-21
Last Update Date
2020-11-23
Business Address
CHRISTINE MARIE PRUISMANN ATC, LAT
301 N ANKENY BLVD
ANKENY, IA 50023-1730
Phone number: 850-866-5528
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Mailing Address
CHRISTINE MARIE PRUISMANN ATC, LAT
102 DESTINY DR
BOONE, IA 50036-1211
Phone number:
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