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1912316621
BO LODGE
CEDAR FALLS, IA
NPI
1912316621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 07323)
Enumeration Date
2014-08-06
Last Update Date
2019-02-20
Business Address
BO LODGE
1710 W 1ST ST SUITE D
CEDAR FALLS, IA 50613-1840
Phone number: 319-273-8988
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Mailing Address
BO LODGE
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6200
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