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1598023301
BETHANY DALE WIRSIG
LEES SUMMIT, MO
NPI
1598023301
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Former Name
BETHANY DALE MORELOCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2012023674)
Enumeration Date
2012-04-30
Last Update Date
2014-02-17
Business Address
BETHANY DALE WIRSIG DPT
3747 SW RAINTREE DR
LEES SUMMIT, MO 64082-4606
Phone number: 816-537-5650
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Mailing Address
BETHANY DALE WIRSIG DPT
17134 BEL RAY PL
BELTON, MO 64012-5331
Phone number: 816-226-4011
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