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1306475793
FERNANDO ALADA BAYANIN
SPRINGFIELD, MO
NPI
1306475793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: MO 004050)
Enumeration Date
2020-04-07
Last Update Date
2020-08-06
Business Address
FERNANDO ALADA BAYANIN
3545 S NATIONAL AVE
SPRINGFIELD, MO 65807-7310
Phone number: 417-269-5561
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Mailing Address
FERNANDO ALADA BAYANIN
3545 S NATIONAL AVE
SPRINGFIELD, MO 65807-7310
Phone number: 417-269-5561
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