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1912963398
JENNIFER G FUNKE
POPLAR BLUFF, MO
NPI
1912963398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2003022299)
Enumeration Date
2006-04-25
Last Update Date
2013-08-20
Business Address
-- JENNIFER G FUNKE PT
3381 KANELL BLVD
POPLAR BLUFF, MO 63901-3060
Phone number: 573-775-0761
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Mailing Address
-- JENNIFER G FUNKE PT
PO BOX 1064
POPLAR BLUFF, MO 63902-1064
Phone number: 573-778-9348
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