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1790918258
MICHELE WALLING
OSAGE BEACH, MO
NPI
1790918258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2009024752)
Enumeration Date
2009-09-01
Last Update Date
2009-09-01
Business Address
-- MICHELE WALLING
54 HOSPITAL DR
OSAGE BEACH, MO 65065-3050
Phone number: 573-348-8000
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Mailing Address
-- MICHELE WALLING
1013A BUENA VISTA ST
JEFFERSON CITY, MO 65109-2503
Phone number:
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