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1407179658
MARIA CONCEPCION REYES TABBERRAH
JOPLIN, MO
NPI
1407179658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017498)
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
Ms. MARIA CONCEPCION REYES TABBERRAH RPT
214 W. 5TH ST. GMM PRO-CARE PROVIDERS, INC.
JOPLIN, MO 64801
Phone number: 417-782-2917
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Mailing Address
Ms. MARIA CONCEPCION REYES TABBERRAH RPT
2001 CONNECTICUT ST. APARTMENT D3
JOPLIN, MO 64804
Phone number: 417-782-2917
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