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1013430628
SOPHIE DEHAVEN
KANSAS CITY, MO
NPI
1013430628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2017026176)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
SOPHIE DEHAVEN
4700 BELLEVIEW AVE STE 415
KANSAS CITY, MO 64112-1361
Phone number: 816-569-2802
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Mailing Address
SOPHIE DEHAVEN
1142 CORRINGTON CT
TOWN AND COUNTRY, MO 63017-8415
Phone number: 314-275-8283
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