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1760615389
LIBERTY D UNDERWOOD
ADRIAN, MO
NPI
1760615389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2009016644)
Enumeration Date
2009-08-30
Last Update Date
2009-08-30
Business Address
-- LIBERTY D UNDERWOOD PTA
402 W 1ST ST
ADRIAN, MO 64720-9277
Phone number: 816-297-2107
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Mailing Address
-- LIBERTY D UNDERWOOD PTA
RR 2 BOX 205
ADRIAN, MO 64720-9408
Phone number: 816-297-8968
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