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1154520781
CARISA GAYLE PURSELL
CAPE GIRARDEAU, MO
NPI
1154520781
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Former Name
CARISA GAYLE SONTAG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2002014370)
Enumeration Date
2007-07-13
Last Update Date
2016-04-26
Business Address
Mrs. CARISA GAYLE PURSELL OTR
3140 LAUREL LANE
CAPE GIRARDEAU, MO 63701-4108
Phone number: 314-276-4201
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Mailing Address
Mrs. CARISA GAYLE PURSELL OTR
3140 LAUREL LANE
CAPE GIRARDEAU, MO 63701-4108
Phone number: 314-276-4201
Copy
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