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1093927618
WILLIAM ELLERD DIERKS
JOPLIN, MO
NPI
1093927618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 00733)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM ELLERD DIERKS Physical Therapist
3105 MC CLELLAND BLVD SUITE 101
JOPLIN, MO 64804-1640
Phone number: 417-623-5560
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Mailing Address
Mr. WILLIAM ELLERD DIERKS Physical Therapist
3105 MC CLELLAND BLVD SUITE 101
JOPLIN, MO 64804-1640
Phone number: 417-623-5560
Copy
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