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1356544910
NANCY CENTLIVRE
ADRIAN, MO
NPI
1356544910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 1400823)
Enumeration Date
2007-06-08
Last Update Date
2007-12-12
Business Address
NANCY CENTLIVRE PTA
402 WEST 1ST ST
ADRIAN, MO 64720-9277
Phone number: 816-297-2107
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Mailing Address
NANCY CENTLIVRE PTA
11900 MEADOW LN
LEAWOOD, KS 66209-1155
Phone number: 913-724-3485
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