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1154019370
CORMAC PROSSER
KANSAS CITY, KS
NPI
1154019370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
CORMAC PROSSER MD
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160-8500
Phone number: 913-588-1559
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Mailing Address
CORMAC PROSSER MD
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160-8500
Phone number: 913-588-1559
Copy
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