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1023190493
WILLIAM T BOULWARE
LIBERTY, MO
NPI
1023190493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO R6E21)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM T BOULWARE MD
1131 W KANSAS ST
LIBERTY, MO 64068-2281
Phone number: 816-792-5577
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Mailing Address
Dr. WILLIAM T BOULWARE MD
1131 W KANSAS ST
LIBERTY, MO 64068-2281
Phone number: 816-792-5577
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