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1497362412
ALEXANDER ERVIN
LEES SUMMIT, MO
NPI
1497362412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: MO 2020031694)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
ALEXANDER ERVIN
1321 SW MARKET ST
LEES SUMMIT, MO 64081-2904
Phone number: 816-607-7180
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Mailing Address
ALEXANDER ERVIN
8961 METCALF AVE APT 315
OVERLAND PARK, KS 66212-1575
Phone number:
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