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1043323702
OLDRICH V BUBENIK
COUNCIL GROVE, KS
NPI
1043323702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MO R2A65)
Enumeration Date
2006-08-16
Last Update Date
2016-01-25
Business Address
Dr. OLDRICH V BUBENIK MD
604 N WASINGTON STREET
COUNCIL GROVE, KS 66846
Phone number: 620-767-5126
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Mailing Address
Dr. OLDRICH V BUBENIK MD
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5725
Phone number: 573-332-0808
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