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Individual

MRS. LALAINE MADLANSACAY CATAPANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3003 E CHESTNUT EXPY, STE.150, SPRINGFIELD, MO 65802-2527
(417) 865-0011
(417) 865-0040
Mailing address
3003 E CHESTNUT EXPY, SUITE 150, SPRINGFIELD, MO 65802-2527
(417) 865-0011
(417) 865-0040

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
104694
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
360172500
DEPT.OF LABOR
MO
Enumeration date
03/29/2011
Last updated
03/29/2011
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