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1780422006
TARAH JUDITH AN PHONGSAVATH
KANSAS CITY, MO
NPI
1780422006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-07644)
Enumeration Date
2024-07-19
Last Update Date
2024-08-13
Business Address
Dr. TARAH JUDITH AN PHONGSAVATH DPT
601 E 63RD ST
KANSAS CITY, MO 64110-3303
Phone number: 816-569-2802
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Mailing Address
Dr. TARAH JUDITH AN PHONGSAVATH DPT
24850 W 191ST ST
GARDNER, KS 66030-9402
Phone number: 913-549-6416
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