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1942390851
NICOLE KATHLEEN PETERSON
KANSAS CITY, MO
NPI
1942390851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2006024538)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- NICOLE KATHLEEN PETERSON PTA
1000 CARONDELET DR
KANSAS CITY, MO 64114-4673
Phone number: 816-943-4545
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Mailing Address
-- NICOLE KATHLEEN PETERSON PTA
6362 COLLEGE BLVD
OVERLAND PARK, KS 66211-1506
Phone number: 913-663-2555
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