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1720555246
STACI J BOSWELL
SAINT JOSEPH, MO
NPI
1720555246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2002001985)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
STACI J BOSWELL PTA
1317 N 36TH ST
SAINT JOSEPH, MO 64506-2359
Phone number: 816-676-1630
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Mailing Address
STACI J BOSWELL PTA
7900 COUNTY ROAD 58
SAVANNAH, MO 64485-9725
Phone number: 816-262-6990
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