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1184307811
LUCAS RISNER
WEST PLAINS, MO
NPI
1184307811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2018026157)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
LUCAS RISNER PTA
1111 N KENTUCKY AVE
WEST PLAINS, MO 65775-2028
Phone number: 417-257-5959
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Mailing Address
LUCAS RISNER PTA
2700 COUNTY ROAD 359
THAYER, MO 65791-9405
Phone number:
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