Individual
JOHN CHRISTOPHER BADOLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 S GRAND AVE, HOUSTON, MO 65483-1442
(417) 362-0092
Mailing address
6304 COUNTY ROAD 1820, POMONA, MO 65789-9171
(417) 362-0092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2019011455
MO
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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