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Individual

JILLIAN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1109 S MAIN ST STE A, MARYVILLE, MO 64468-2601
(606) 224-2077
Mailing address
PO BOX 219297, KANSAS CITY, MO 64121-9297

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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