IAN JAMES BACOLOD

JEFFERSON CITY, MO
NPI1093066532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  100687)
Enumeration Date2012-09-24
Last Update Date2012-09-24
Business Address
-- IAN JAMES BACOLOD P.T.
139 N CAPISTRANO DR
JEFFERSON CITY, MO 65109-6179
Phone number: 573-893-6706
Mailing Address
-- IAN JAMES BACOLOD P.T.
139 N CAPISTRANO DR
JEFFERSON CITY, MO 65109-6179
Phone number: 573-893-6706
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