CLARISSE DAWN BALBONTIN GEMOTO

JOPLIN, MO
NPI1417195587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.016649)
Enumeration Date2009-01-28
Last Update Date2009-01-28
Business Address
Miss CLARISSE DAWN BALBONTIN GEMOTO PT
214 W 5TH ST
JOPLIN, MO 64801-2501
Phone number: 417-782-2917
Mailing Address
Miss CLARISSE DAWN BALBONTIN GEMOTO PT
2001 CONNECTICUT AVE APT D2
JOPLIN, MO 64804-1100
Phone number: 417-659-9656
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