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1861015026
SHANNON E ROTH
WAVERLY, IA
NPI
1861015026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 096767)
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
SHANNON E ROTH
217 E BREMER AVE
WAVERLY, IA 50677-3435
Phone number: 319-352-4544
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Mailing Address
SHANNON E ROTH
217 E BREMER AVE
WAVERLY, IA 50677-3435
Phone number: 319-352-4544
Copy
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