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1205949781
LESA A GOODMAN
O FALLON, MO
NPI
1205949781
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Former Name
LESA A LASSWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 117046)
Enumeration Date
2006-08-17
Last Update Date
2008-01-17
Business Address
MRS. LESA A GOODMAN P.T.
939 HIGHWAY K
O FALLON, MO 63366-2910
Phone number: 636-240-7000
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Mailing Address
MRS. LESA A GOODMAN P.T.
939 HIGHWAY K
O FALLON, MO 63366-2910
Phone number: 636-240-7000
Copy
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