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1174167233
CODY SHRUM
OVERLAND PARK, KS
NPI
1174167233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-03394)
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
CODY SHRUM
10600 MASTIN ST # B
OVERLAND PARK, KS 66212-5723
Phone number: 913-681-0606
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Mailing Address
CODY SHRUM
10600 MASTIN ST # B
OVERLAND PARK, KS 66212-5723
Phone number: 913-681-0606
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