STACEE NEWSOM

GRAIN VALLEY, MO
NPI1023205671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2002021172)
Enumeration Date2007-09-27
Last Update Date2012-05-23
Business Address
-- STACEE NEWSOM P.T.
640 NW JEFFERSON ST
GRAIN VALLEY, MO 64029-8278
Phone number: 816-726-7337
Mailing Address
-- STACEE NEWSOM P.T.
1302 NW PERSIMMON DR
GRAIN VALLEY, MO 64029-8628
Phone number: 816-726-7337
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