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1831181890
JARED DAVID BROSTAD
DES MOINES, IA
NPI
1831181890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03540)
Enumeration Date
2005-08-16
Last Update Date
2011-06-27
Business Address
JARED DAVID BROSTAD P.T.
450 LAUREL ST
DES MOINES, IA 50314-3045
Phone number: 515-323-6485
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Mailing Address
JARED DAVID BROSTAD P.T.
4015 FAGEN DR
DES MOINES, IA 50310-4047
Phone number: 515-276-6676
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