EDEFER ANONUEVO DELA CRUZ

SPRINGFIELD, MO
NPI1407107527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2006011989)
Enumeration Date2012-09-28
Last Update Date2012-09-28
Business Address
Mr. EDEFER ANONUEVO DELA CRUZ RPT
1514 W LARK ST
SPRINGFIELD, MO 65810-2270
Phone number: 417-889-1275
Mailing Address
Mr. EDEFER ANONUEVO DELA CRUZ RPT
3853 W VINCENT DR
SPRINGFIELD, MO 65810-1061
Phone number: 417-823-7854
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