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1912407289
CRAIG WILLIAM BRISCOE
LENEXA, KS
NPI
1912407289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-02162)
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
CRAIG WILLIAM BRISCOE PTA
8505 PFLUMM RD
LENEXA, KS 66215-2468
Phone number: 913-825-9927
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Mailing Address
CRAIG WILLIAM BRISCOE PTA
6830 W 121ST CT
OVERLAND PARK, KS 66209-2021
Phone number: 913-239-8777
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