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1457679730
GRANT MICHAEL COLLINS
POPLAR BLUFF, MO
NPI
1457679730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2008020468)
Enumeration Date
2010-05-11
Last Update Date
2014-04-02
Business Address
GRANT MICHAEL COLLINS PT
2166 NORTH WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2440
Phone number: 573-712-2696
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Mailing Address
GRANT MICHAEL COLLINS PT
2166 NORTH WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2440
Phone number: 573-712-2696
Copy
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