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1720235807
KANDI MONIQUE POTTER
JOPLIN, MO
NPI
1720235807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2004015912)
Enumeration Date
2008-08-20
Last Update Date
2008-08-20
Business Address
Mrs. KANDI MONIQUE POTTER P.T.
201 S NORTHPARK LN
JOPLIN, MO 64801-8426
Phone number: 417-623-4313
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Mailing Address
Mrs. KANDI MONIQUE POTTER P.T.
1308A W 16TH ST
WEBB CITY, MO 64870-3200
Phone number:
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