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1104434190
ANDREW MARK KISELICA
COLUMBIA, MO
NPI
1104434190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: MO 2020008417)
Enumeration Date
2020-07-16
Last Update Date
2022-10-05
Business Address
ANDREW MARK KISELICA PhD
701 S 5TH ST CLARK HALL RM 501
COLUMBIA, MO 65211-0001
Phone number: 573-882-1561
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Mailing Address
ANDREW MARK KISELICA PhD
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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