MARTHA KICKASOLA RUSTEN

CAPE GIRARDEAU, MO
NPI1831855964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2020001245)
Enumeration Date2021-11-12
Last Update Date2021-11-12
Business Address
MARTHA KICKASOLA RUSTEN
1020 S PARKWAY ST
CAPE GIRARDEAU, MO 63703-7799
Phone number: 270-994-3249
Mailing Address
MARTHA KICKASOLA RUSTEN
281 FLAGSTONE DR
CAPE GIRARDEAU, MO 63701-8454
Phone number: 270-994-3249
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