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1114359148
BYRAN CHARLES BORTFELD
O FALLON, MO
NPI
1114359148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2013028461)
Enumeration Date
2013-08-01
Last Update Date
2013-08-06
Business Address
-- BYRAN CHARLES BORTFELD DPT
939 HIGHWAY K
O FALLON, MO 63366-2910
Phone number: 636-240-7000
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Mailing Address
-- BYRAN CHARLES BORTFELD DPT
939 HIGHWAY K
O FALLON, MO 63366-2910
Phone number: 636-240-7000
Copy
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