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1295873743
BRUCE AUTRY
WEST PLAINS, MO
NPI
1295873743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO L100151001)
Enumeration Date
2007-02-04
Last Update Date
2007-07-08
Business Address
-- BRUCE AUTRY
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775-2029
Phone number: 417-257-5959
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Mailing Address
-- BRUCE AUTRY
PO BOX 1100
WEST PLAINS, MO 65775-1100
Phone number:
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