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1194763524
TERRY D SUPPES
KANSAS CITY, MO
NPI
1194763524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 36974)
Enumeration Date
2006-06-04
Last Update Date
2013-07-11
Business Address
-- TERRY D SUPPES DO
6675 HOLMES RD SUITE 360
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7600
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Mailing Address
-- TERRY D SUPPES DO
6675 HOLMES RD SUITE 450
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7600
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