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1801093448
KRISTI MARIE POTTEBAUM
DENISON, IA
NPI
1801093448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 00567)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
KRISTI MARIE POTTEBAUM
1202 RIDGE RD
DENISON, IA 51442
Phone number: 712-263-6978
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Mailing Address
KRISTI MARIE POTTEBAUM
818 W 19TH ST
CARROLL, IA 51401-3519
Phone number: 712-792-9737
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