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1912174269
SARAH J WIESE
VINTON, IA
NPI
1912174269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IA 01017)
Enumeration Date
2008-05-14
Last Update Date
2008-05-14
Business Address
-- SARAH J WIESE otrl
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6372
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Mailing Address
-- SARAH J WIESE otrl
2050 GLEN OAKS RDG
CORALVILLE, IA 52241-3482
Phone number: 319-341-7162
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