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1225476013
KENDAL LEWIS GENO
BROOKFIELD, MO
NPI
1225476013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2013017659)
Enumeration Date
2013-06-13
Last Update Date
2016-07-25
Business Address
-- KENDAL LEWIS GENO M.D.
125 E LOCKLING ST
BROOKFIELD, MO 64628-2367
Phone number: 660-258-8237
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Mailing Address
-- KENDAL LEWIS GENO M.D.
125 E LOCKLING AVE
BROOKFIELD, MO 64628
Phone number: 660-258-8237
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