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1821532409
DEIDRA F COLE
PALMYRA, MO
NPI
1821532409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2017003415)
Enumeration Date
2016-12-15
Last Update Date
2020-01-20
Business Address
DEIDRA F COLE DPT
1219 S MAIN ST
PALMYRA, MO 63461-1943
Phone number: 573-769-6166
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Mailing Address
DEIDRA F COLE DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6200
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