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1790108827
SUSAN SIVOLA
DES MOINES, IA
NPI
1790108827
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Former Name
SUSAN PAYNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 00970)
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
-- SUSAN SIVOLA PT
4725 MERLE HAY RD STE 107
DES MOINES, IA 50322-1983
Phone number: 515-331-3191
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Mailing Address
-- SUSAN SIVOLA PT
4725 MERLE HAY RD STE 107
DES MOINES, IA 50322-1983
Phone number: 515-331-3191
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