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1255861902
KATHRYN M DIETZ
COLUMBIA, MO
NPI
1255861902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2017019767)
Enumeration Date
2017-06-15
Last Update Date
2022-10-05
Business Address
KATHRYN M DIETZ PA-C
1 HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-882-6955
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Mailing Address
KATHRYN M DIETZ PA-C
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-882-3300
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