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1366597247
PENNY WAGGENER
LEES SUMMIT, MO
NPI
1366597247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 01798)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- PENNY WAGGENER RPT
104 SW GRAY CIR
LEES SUMMIT, MO 64081-4135
Phone number: 816-765-5211
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Mailing Address
-- PENNY WAGGENER RPT
104 SW GRAY CIR
LEES SUMMIT, MO 64081-4135
Phone number: 816-765-5211
Copy
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