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1881811743
MERCED M. VILLANUEVA
JEFFERSON CITY, MO
NPI
1881811743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 02245)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- MERCED M. VILLANUEVA PT
2905 CANTABERRY DR
JEFFERSON CITY, MO 65109-9273
Phone number: 573-634-7983
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Mailing Address
-- MERCED M. VILLANUEVA PT
2905 CANTABERRY DR
JEFFERSON CITY, MO 65109-9273
Phone number: 573-634-7983
Copy
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