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1780182071
TIMOTHY G MACK
WEST DES MOINES, IA
NPI
1780182071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 090249)
Enumeration Date
2018-02-01
Last Update Date
2019-02-18
Business Address
TIMOTHY G MACK DPT
800 S 50TH ST STE 103
WEST DES MOINES, IA 50265-5382
Phone number: 515-226-1616
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Mailing Address
TIMOTHY G MACK DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-590-4029
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