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1174779250
JON ROBERT HUMISTON
KANSAS CITY, MO
NPI
1174779250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2018002356)
Enumeration Date
2008-08-08
Last Update Date
2022-01-31
Business Address
-- JON ROBERT HUMISTON PA
6675 HOLMES RD STE 400&425
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7410
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Mailing Address
-- JON ROBERT HUMISTON PA
6675 HOLMES RD STE 400&425
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7410
Copy
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