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Individual

CHEYENNE SPURGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
10 LAKE DR, BONNE TERRE, MO 63628-1820
(573) 359-2800
Mailing address
9340 HIGHWAY D, FRENCH VILLAGE, MO 63036-1103
(573) 330-6921

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015024282
MO

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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