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1932548013
MOLLY J GARDEMANN
VINTON, IA
NPI
1932548013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 000994)
Enumeration Date
2013-06-21
Last Update Date
2020-11-06
Business Address
MOLLY J GARDEMANN OTA
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6372
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Mailing Address
MOLLY J GARDEMANN OTA
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6372
Copy
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