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1821756636
DOMINIQUE OLDHAM
WEST DES MOINES, IA
NPI
1821756636
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Professional Name
DOMINIQUE OLDHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 085075)
Enumeration Date
2021-11-30
Last Update Date
2021-12-13
Business Address
DOMINIQUE OLDHAM OTA
8950 COACHLIGHT DR
WEST DES MOINES, IA 50266-8778
Phone number: 515-375-2100
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Mailing Address
DOMINIQUE OLDHAM OTA
14605 E 257TH AVE
EAGLEVILLE, MO 64442-9137
Phone number: 515-771-8379
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