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1932404845
BENJAMIN JOSHUA CRUZ BARTOLOME
JOPLIN, MO
NPI
1932404845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.017758)
Enumeration Date
2011-01-24
Last Update Date
2011-01-24
Business Address
Mr. BENJAMIN JOSHUA CRUZ BARTOLOME PT
214 W 5TH ST STE D&E
JOPLIN, MO 64801-2501
Phone number: 417-782-2917
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Mailing Address
Mr. BENJAMIN JOSHUA CRUZ BARTOLOME PT
214 W 5TH ST STE D&E
JOPLIN, MO 64801-2501
Phone number: 417-782-2917
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