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1114117306
DOCTORS INN CLINIC LLC
KENNETT, MO
NPI
1114117306
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Entity Type
Organization
Authorized Contact
DEBBIE A WADE
Np
573-717-1776
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2000148413)
Enumeration Date
2007-07-25
Last Update Date
2010-02-26
Business Address
DOCTORS INN CLINIC LLC
1112 SOUTH BYP STE C SUITE C
KENNETT, MO 63857-3738
Phone number: 573-717-1776
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Mailing Address
DOCTORS INN CLINIC LLC
1112 SOUTH BYP SUITE C
KENNETT, MO 63857-3738
Phone number: 573-717-1776
Copy
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