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1235658139
BARRY BOICOURT
OVERLAND PARK, KS
NPI
1235658139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 1402548)
Enumeration Date
2017-09-12
Last Update Date
2022-07-21
Business Address
BARRY BOICOURT PTA
6501 W 75TH ST
OVERLAND PARK, KS 66204-3017
Phone number: 913-383-9866
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Mailing Address
BARRY BOICOURT PTA
6501 W 75TH ST
OVERLAND PARK, KS 66204-3017
Phone number: 913-383-9866
Copy
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