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NPI Code Detail

MEDICARE: AGGREY WANYONYI

MEDICARE: AGGREY WANYONYI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist003210MO

General Provider Information

NPI Number : 1821365750
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGGREY WANYONYI
Provider Business Mailing Address
First Line : 901 COLGATE
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-1817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 SOUTH ST
Second Line :
City : PARIS
State : MO
Zip : 65275-1165
Country : US
Telephone Number : 660-327-1024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2011
Last Update Date : 11/21/2011

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Directions to “ AGGREY WANYONYI ” Practice Location

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