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1841940087
MEGAN JEWELL ANTONINKA
JEFFERSON CITY, MO
NPI
1841940087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2020036130)
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
MEGAN JEWELL ANTONINKA PTA
328 ELM TREE DR
JEFFERSON CITY, MO 65109-0223
Phone number: 573-821-3369
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Mailing Address
MEGAN JEWELL ANTONINKA PTA
328 ELM TREE DR
JEFFERSON CITY, MO 65109-0223
Phone number: 573-821-3369
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