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1821122383
CORI ANN WILSON
OSAGE BEACH, MO
NPI
1821122383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2004005504)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- CORI ANN WILSON P.T.A.
54 HOSPITAL DR
OSAGE BEACH, MO 65065-3050
Phone number: 573-302-2230
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Mailing Address
-- CORI ANN WILSON P.T.A.
6005 BAYDY PEAK RD UNIT 1006
OSAGE BEACH, MO 65065-3908
Phone number: 573-280-9369
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