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1205209939
ANTONIO MALDONADO
SPRINGFIELD, MO
NPI
1205209939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2012026727)
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
ANTONIO MALDONADO OTA
2017 W WOODLAND ST
SPRINGFIELD, MO 65807-5913
Phone number: 417-889-4800
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Mailing Address
ANTONIO MALDONADO OTA
2017 W WOODLAND ST
SPRINGFIELD, MO 65807-5913
Phone number: 417-889-4800
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