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1639499650
SHANE THORESON
SAINT PETERS, MO
NPI
1639499650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2013040780)
Enumeration Date
2010-06-02
Last Update Date
2021-12-17
Business Address
SHANE THORESON MPT
4800 MEXICO RD SUITE 104
SAINT PETERS, MO 63376-1666
Phone number: 636-939-9540
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Mailing Address
SHANE THORESON MPT
2454 W CLAY ST
SAINT CHARLES, MO 63301-2548
Phone number: 636-916-4625
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