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1215251798
BROOKE C THEBEAU
KANSAS CITY, MO
NPI
1215251798
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Former Name
BROOKE C WIGGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2006004622)
Enumeration Date
2010-03-26
Last Update Date
2010-03-26
Business Address
Mrs. BROOKE C THEBEAU PT
10090 NW PRAIRIE VIEW RD
KANSAS CITY, MO 64153-1344
Phone number: 913-789-4075
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Mailing Address
Mrs. BROOKE C THEBEAU PT
11140 THOMPSON AVE
LENEXA, KS 66219-2301
Phone number: 913-789-4075
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