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1043219454
STEVEN L PUDERBAUGH
SAINT JOSEPH, MO
NPI
1043219454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 523056)
Enumeration Date
2005-07-18
Last Update Date
2007-07-09
Business Address
-- STEVEN L PUDERBAUGH DO
1314 N 36TH ST
SAINT JOSEPH, MO 64506-2357
Phone number: 800-952-8387
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Mailing Address
-- STEVEN L PUDERBAUGH DO
1314 N. 36TH ST.
ST. JOSEPH, MO 64506-4613
Phone number: 800-952-8387
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