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1760142426
BENJAMIN MARDIS
WAUKEE, IA
NPI
1760142426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 111531)
Enumeration Date
2021-12-22
Last Update Date
2021-12-22
Business Address
BENJAMIN MARDIS DPT
1775 SE HAWTHORNE RIDGE DR
WAUKEE, IA 50263-8005
Phone number: 515-240-2610
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Mailing Address
BENJAMIN MARDIS DPT
1775 SE HAWTHORNE RIDGE DR
WAUKEE, IA 50263-8005
Phone number: 515-240-2610
Copy
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