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1467493502
REBECCA JANE LAIS
JOPLIN, MO
NPI
1467493502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: MO N/A)
Enumeration Date
2006-06-09
Last Update Date
2008-02-18
Business Address
Mrs. REBECCA JANE LAIS Opt
2632 CUNNINGHAM AVE
JOPLIN, MO 64804-1542
Phone number: 417-623-3448
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Mailing Address
Mrs. REBECCA JANE LAIS Opt
2632 CUNNINGHAM AVE
JOPLIN, MO 64804-1542
Phone number: 417-623-3448
Copy
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