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Individual

MRS. NICOLE ELAINE OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
801 EUCLID AVE, CAMERON, MO 64429-2003
(816) 632-7254
(816) 632-3757
Mailing address
801 EUCLID AVE, CAMERON, MO 64429-2003
(816) 632-7254
(816) 632-3757

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006026275
MO

Other

Enumeration date
12/30/2014
Last updated
12/30/2014
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