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1205245685
DIANE KO
PERRYVILLE, MO
NPI
1205245685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2014027291)
Enumeration Date
2014-08-11
Last Update Date
2015-08-18
Business Address
-- DIANE KO D.M.D.
1314 BRENDA AVE
PERRYVILLE, MO 63775-2303
Phone number: 573-517-0405
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Mailing Address
-- DIANE KO D.M.D.
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5725
Phone number: 573-332-0808
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