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1265667802
GOLDEN AGE FOOTCARE
GOWER, MO
NPI
1265667802
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Entity Type
Organization
Authorized Contact
BOREMY LY
President
816-304-8452
Organization Subpart ?
No
Primary Taxonomy
213EP1101X Podiatrist, Primary Podiatric Medicine
Enumeration Date
2009-05-27
Last Update Date
2009-05-27
Business Address
GOLDEN AGE FOOTCARE
323 S. 169 HIGHWAY
GOWER, MO 64454-9116
Phone number: 816-304-8452
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Mailing Address
GOLDEN AGE FOOTCARE
7818 N HULL AVE
KANSAS CITY, MO 64151-1532
Phone number: 816-304-8452
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