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1023664273
HOUSSAM BOULOUSSA
KANSAS CITY, MO
NPI
1023664273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MO 2022035108)
Enumeration Date
2019-08-14
Last Update Date
2022-09-19
Business Address
Dr. HOUSSAM BOULOUSSA MD, MS
2101 CHARLOTTE ST
KANSAS CITY, MO 64108
Phone number: 816-404-0072
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Mailing Address
Dr. HOUSSAM BOULOUSSA MD, MS
2101 CHARLOTTE ST
KANSAS CITY, MO 64108-2727
Phone number:
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