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1154692648
EMMY LOU TAPUYAO VIRTUDAZO
JOPLIN, MO
NPI
1154692648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.018717)
Enumeration Date
2012-01-16
Last Update Date
2012-01-16
Business Address
Miss EMMY LOU TAPUYAO VIRTUDAZO
214 W 5TH ST STE D
JOPLIN, MO 64801-2575
Phone number: 417-782-2917
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Mailing Address
Miss EMMY LOU TAPUYAO VIRTUDAZO
214 W 5TH ST STE D
JOPLIN, MO 64801-2575
Phone number: 417-782-2917
Copy
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