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1841408853
VIVIEN SIMBULAN MEDINA
JOPLIN, MO
NPI
1841408853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2005020702)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- VIVIEN SIMBULAN MEDINA P.T.
214 W 5TH ST SUITE D & E
JOPLIN, MO 64801-2501
Phone number: 417-782-2917
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Mailing Address
-- VIVIEN SIMBULAN MEDINA P.T.
214 W 5TH ST SUITE D & E
JOPLIN, MO 64801-2501
Phone number: 417-782-2917
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