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1164513883
MISTY RENEE LOPEZ
OZARK, MO
NPI
1164513883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2005015559)
Enumeration Date
2006-09-27
Last Update Date
2022-04-18
Business Address
MISTY RENEE LOPEZ PA-C
5100 N TOWNE CENTRE DR
OZARK, MO 65721-7479
Phone number: 417-269-2215
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Mailing Address
MISTY RENEE LOPEZ PA-C
PO BOX 802843
KANSAS CITY, MO 64180-2843
Phone number: 417-730-6430
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