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1063658391
ROSS ALAN HOLWERDA
KANSAS CITY, MO
NPI
1063658391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 2012016480)
Enumeration Date
2008-12-16
Last Update Date
2014-07-31
Business Address
-- ROSS ALAN HOLWERDA
4401 WORNALL RD
KANSAS CITY, MO 64111-3220
Phone number: 816-932-2107
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Mailing Address
-- ROSS ALAN HOLWERDA
2303 WINCHESTER ROAD
ALBANY, GA 31721
Phone number: 229-347-1703
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