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1720095995
LISA JO BOUDRIEAU
OVERLAND PARK, KS
NPI
1720095995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 3604)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
LISA JO BOUDRIEAU PT
12000 W 110TH ST SUITE 400
OVERLAND PARK, KS 66210-3938
Phone number: 816-679-7056
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Mailing Address
LISA JO BOUDRIEAU PT
4629 W 72ND TER
PRAIRIE VILLAGE, KS 66208-2827
Phone number: 913-831-6242
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