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1811107576
MALCOLM BASINILLO ACIERTO
INDEPENDENCE, MO
NPI
1811107576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2006024392)
Enumeration Date
2007-05-23
Last Update Date
2008-03-03
Business Address
Mr. MALCOLM BASINILLO ACIERTO RPT
1600 SOUTH KINGSHIGHWAY
INDEPENDENCE, MO 64055
Phone number: 816-833-4777
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Mailing Address
Mr. MALCOLM BASINILLO ACIERTO RPT
508 NE CHIPMAN RD APT 92
LEES SUMMIT, MO 64063-2583
Phone number: 773-780-7669
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