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1376951590
SHELTON BLEVINS
COLUMBIA, MO
NPI
1376951590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2014039416)
Enumeration Date
2014-07-31
Last Update Date
2014-11-10
Business Address
-- SHELTON BLEVINS
303 N KEENE ST STE 102
COLUMBIA, MO 65201-7193
Phone number: 573-443-0225
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Mailing Address
-- SHELTON BLEVINS
303 N KEENE ST STE 102
COLUMBIA, MO 65201-7193
Phone number: 573-443-0225
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