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1508067067
KATHLEEN MARIE CARICO
JEFFERSON CITY, MO
NPI
1508067067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2005020699)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- KATHLEEN MARIE CARICO PTA
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5621
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Mailing Address
-- KATHLEEN MARIE CARICO PTA
338 OLD GIBLER RD
JEFFERSON CITY, MO 65109-1117
Phone number: 573-893-4870
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