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1861920597
KENT LESLIE INGVALSON
DES MOINES, IA
NPI
1861920597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 087723)
Enumeration Date
2017-05-25
Last Update Date
2017-05-25
Business Address
KENT LESLIE INGVALSON DPT
450 LAUREL ST STE B
DES MOINES, IA 50314-3045
Phone number: 515-323-6485
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Mailing Address
KENT LESLIE INGVALSON DPT
2901 GRAND AVE APT 306
DES MOINES, IA 50312-4289
Phone number: 563-419-3177
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