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1841316296
PAUL VINCENT LANE
MACON, MO
NPI
1841316296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 02103)
Enumeration Date
2007-03-21
Last Update Date
2009-07-17
Business Address
-- PAUL VINCENT LANE P.T.
2005 N. MISSOURI ST. SUITE D
MACON, MO 63552-0381
Phone number: 660-385-6540
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Mailing Address
-- PAUL VINCENT LANE P.T.
PO BOX 381
MACON, MO 63552-0381
Phone number: 660-385-6540
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