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1902462807
RYAN HAVERKAMP
BOONE, IA
NPI
1902462807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: IA 092165)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
RYAN HAVERKAMP PT
715 W MAMIE EISENHOWER AVE
BOONE, IA 50036-3930
Phone number: 515-432-5274
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Mailing Address
RYAN HAVERKAMP PT
6455 GALLERIA DR APT 5408
WEST DES MOINES, IA 50266-6759
Phone number:
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