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1063698827
MEDBASICS MISSOURI LLC
INDEPENDENCE, MO
NPI
1063698827
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Entity Type
Organization
Authorized Contact
JODI KRUSELY
Account Manager
847-838-3832
Organization Subpart ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2008-01-10
Last Update Date
2008-01-10
Business Address
MEDBASICS MISSOURI LLC
4201 S NOLAND RD
INDEPENDENCE, MO 64055-7313
Phone number: 816-373-9901
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Mailing Address
MEDBASICS MISSOURI LLC
PO BOX 671621
DALLAS, TX 75267-1621
Phone number: 972-580-7700
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