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1083793087
JOSE A. MAEDA
LIBERAL, KS
NPI
1083793087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: KS 0436164)
Additional Taxonomies
208600000X Surgery
(Licence: TX J1719)
Enumeration Date
2006-11-02
Last Update Date
2017-03-08
Business Address
Dr. JOSE A. MAEDA MD
305 W 15TH ST SUITE 204
LIBERAL, KS 67901-2455
Phone number: 620-624-4946
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Mailing Address
Dr. JOSE A. MAEDA MD
PO BOX 1215 ATTN CLINIC BILLING OFFICE
LIBERAL, KS 67905-1215
Phone number: 620-629-6638
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