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1104669928
KISHWAR BASITH
JOPLIN, MO
NPI
1104669928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MO 2024022579)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
KISHWAR BASITH
932 E 34TH ST
JOPLIN, MO 64804-3932
Phone number: 417-347-7603
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Mailing Address
KISHWAR BASITH
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number:
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