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1194222091
KEYEN MARCUS BRAUGHTON
WARRENSBURG, MO
NPI
1194222091
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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
2018-04-09
Last Update Date
2018-04-09
Business Address
KEYEN MARCUS BRAUGHTON
108 W SOUTH ST
WARRENSBURG, MO 64093-2324
Phone number: 660-543-4256
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Mailing Address
KEYEN MARCUS BRAUGHTON
1148 SILVERLEAF LN
LIBERTY, MO 64068-8496
Phone number: 816-723-0408
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