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1003093204
SUZANNE S ERVIN
SPRINGFIELD, MO
NPI
1003093204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 001911)
Enumeration Date
2008-01-30
Last Update Date
2010-08-17
Business Address
-- SUZANNE S ERVIN OTR
1544 E WALNUT LAWN ST
SPRINGFIELD, MO 65804-6412
Phone number: 417-631-8944
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Mailing Address
-- SUZANNE S ERVIN OTR
1544 E WALNUT LAWN ST
SPRINGFIELD, MO 65804-6412
Phone number: 417-881-2974
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