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1912575754
JUSTIN WILDER
ANKENY, IA
NPI
1912575754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 107534)
Enumeration Date
2021-06-17
Last Update Date
2024-10-18
Business Address
JUSTIN WILDER PT
1711 SW PLAZA PKWY
ANKENY, IA 50023-7325
Phone number: 515-417-0074
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Mailing Address
JUSTIN WILDER PT
1711 SW PLAZA PKWY
ANKENY, IA 50023-7013
Phone number: 515-964-2322
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