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1992067623
CHRISTIAN MARK KOENIG
KANSAS CITY, MO
NPI
1992067623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2002015307)
Enumeration Date
2012-06-08
Last Update Date
2012-06-08
Business Address
Mr. CHRISTIAN MARK KOENIG PTA
11515 TROOST AVE
KANSAS CITY, MO 64131-3769
Phone number: 816-943-0101
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Mailing Address
Mr. CHRISTIAN MARK KOENIG PTA
1422 SOUTHVIEW DR
LIBERTY, MO 64068
Phone number: 402-730-3081
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