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1245476720
JOHN SANTILLANA LARDIZABAL
JOPLIN, MO
NPI
1245476720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070016860)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
MR. JOHN SANTILLANA LARDIZABAL PT
214 W 5TH ST
JOPLIN, MO 64801-2501
Phone number: 417-782-2917
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Mailing Address
MR. JOHN SANTILLANA LARDIZABAL PT
214 W 5TH ST
JOPLIN, MO 64801-2501
Phone number: 417-782-2917
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