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1700132321
NATHANIAL JAMES CARLSON
INDEPENDENCE, MO
NPI
1700132321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2012023494)
Enumeration Date
2012-08-01
Last Update Date
2012-08-01
Business Address
-- NATHANIAL JAMES CARLSON DPT
3801 SELSA RD SUITE 7
INDEPENDENCE, MO 64057-1705
Phone number: 816-795-0434
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Mailing Address
-- NATHANIAL JAMES CARLSON DPT
3361 SW SENSATION DR APARTMENT 931
LEES SUMMIT, MO 64081-7800
Phone number:
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