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1023071719
LARRY A NATIONS
POPLAR BLUFF, MO
NPI
1023071719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2004030206)
Enumeration Date
2006-04-11
Last Update Date
2007-07-09
Business Address
-- LARRY A NATIONS PT
2725 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2346
Phone number: 573-778-9348
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Mailing Address
-- LARRY A NATIONS PT
PO BOX 1027
POPLAR BLUFF, MO 63902-1027
Phone number: 573-778-9348
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