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1659675395
LISA MARIE CLEMENCE
SAINT LOUIS, MO
NPI
1659675395
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Former Name
LISA MARIE CARDILLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2008008297)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
Mrs. LISA MARIE CLEMENCE P.T.
4020 BUTLER HILL RD
SAINT LOUIS, MO 63129-1500
Phone number: 314-487-6623
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Mailing Address
Mrs. LISA MARIE CLEMENCE P.T.
14450 S OUTER 40 RD
CHESTERFIELD, MO 63017-5711
Phone number: 314-434-6060
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