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1306065941
DANA ELIZABETH WISWALL
JEFFERSON CITY, MO
NPI
1306065941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2003029894)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- DANA ELIZABETH WISWALL PT
3308 W EDGEWOOD DR
JEFFERSON CITY, MO 65109-6891
Phone number: 573-638-3400
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Mailing Address
-- DANA ELIZABETH WISWALL PT
305 JUSTIN LN
ASHLAND, MO 65010-8915
Phone number: 573-657-6133
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