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Individual

JON WILLIAM BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
409 W SOUTH HILLS DR, MARYVILLE, MO 64468-3639
(660) 562-7908
(660) 562-7967
Mailing address
1013 W EDWARDS ST, MARYVILLE, MO 64468-2084
(660) 853-9260

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02156
MO

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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