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1750614772
CHARLES ROBERT CALLOWAY
SAINT JOSEPH, MO
NPI
1750614772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 1400700)
Enumeration Date
2009-09-09
Last Update Date
2009-09-09
Business Address
Mr. CHARLES ROBERT CALLOWAY LPTA
4408 KENSINGTON DR
SAINT JOSEPH, MO 64506-5064
Phone number: 816-383-1715
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Mailing Address
Mr. CHARLES ROBERT CALLOWAY LPTA
4408 KENSINGTON DR.
ST. JOSEPH, MO 64506
Phone number: 816-383-1715
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