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1558145094
GRANT P KIRSCHBAUM
BLUE SPRINGS, MO
NPI
1558145094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2023032658)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
GRANT P KIRSCHBAUM PTA
111 NE MOCK AVE
BLUE SPRINGS, MO 64014-2503
Phone number: 816-729-8038
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Mailing Address
GRANT P KIRSCHBAUM PTA
1041 SW REDBUCK CIR
LEES SUMMIT, MO 64081-3867
Phone number: 816-729-8038
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