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1235490228
SHANE NATHAN MEADORS
KANSAS CITY, MO
NPI
1235490228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2012016499)
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
-- SHANE NATHAN MEADORS PTA
11515 TROOST AVE
KANSAS CITY, MO 64131-3769
Phone number: 816-943-0101
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Mailing Address
-- SHANE NATHAN MEADORS PTA
2011 CORONA RD SUITE 301
COLUMBIA, MO 65203-2548
Phone number:
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