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1376614917
SUSAN PON
SPRINGFIELD, MO
NPI
1376614917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 01376)
Enumeration Date
2006-11-13
Last Update Date
2007-07-09
Business Address
-- SUSAN PON LPT
1545 E PYTHIAN ST
SPRINGFIELD, MO 65802-2139
Phone number: 417-829-0893
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Mailing Address
-- SUSAN PON LPT
1545 E PYTHIAN ST
SPRINGFIELD, MO 65802-2139
Phone number: 417-829-0893
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