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1780173385
ANDREW ANTLE
DAVENPORT, IA
NPI
1780173385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
ANDREW ANTLE
1840 W 38TH PL
DAVENPORT, IA 52806-5415
Phone number: 563-340-0546
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Mailing Address
ANDREW ANTLE
1840 W 38TH PL
DAVENPORT, IA 52806-5415
Phone number:
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