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1295063394
AVRIL PRABAKARAN
JOPLIN, MO
NPI
1295063394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017017)
Enumeration Date
2009-12-01
Last Update Date
2009-12-01
Business Address
Ms. AVRIL PRABAKARAN RPT
214 W. 5TH ST. GMM PRO-CARE PROVIDERS, INC.
JOPLIN, MO 64801-0000
Phone number: 417-782-2917
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Mailing Address
Ms. AVRIL PRABAKARAN RPT
2001 CONNECTICUT AVE APT. D3
JOPLIN, MO 64804-1108
Phone number: 417-659-9656
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