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1780917591
STEPHEN D JERNIGAN
KANSAS CITY, KS
NPI
1780917591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-03056)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
-- STEPHEN D JERNIGAN MSPT
3901 RAINBOW BLVD 2032 SON-MAIL STOP 4043
KANSAS CITY, KS 66103-2937
Phone number: 913-522-4894
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Mailing Address
-- STEPHEN D JERNIGAN MSPT
PO BOX 307
STILWELL, KS 66085-0307
Phone number: 913-522-4894
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