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1801310149
RICHARD MICHAELSON
SIOUX CITY, IA
NPI
1801310149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 087857)
Enumeration Date
2017-07-28
Last Update Date
2017-07-28
Business Address
RICHARD MICHAELSON
2730 PIERCE ST STE 300
SIOUX CITY, IA 51104-3765
Phone number: 712-224-8677
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Mailing Address
RICHARD MICHAELSON
153 PRAIRIE BND
DAKOTA DUNES, SD 57049-5168
Phone number: 712-301-4875
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