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1558348789
NATHAN ALAN PLACE
O FALLON, MO
NPI
1558348789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: MO 113476)
Enumeration Date
2005-12-29
Last Update Date
2007-07-08
Business Address
Mr. NATHAN ALAN PLACE A.T.,C.
3451 PHEASANT MEADOW DR
O FALLON, MO 63368-7324
Phone number: 636-379-0092
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Mailing Address
Mr. NATHAN ALAN PLACE A.T.,C.
1409 QUIVER DR
O FALLON, MO 63366-3721
Phone number: 636-272-1396
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