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1275585713
COREY BLAINE LEWIS
NORTH KANSAS CITY, MO
NPI
1275585713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2005027554)
Enumeration Date
2006-05-16
Last Update Date
2012-10-25
Business Address
Dr. COREY BLAINE LEWIS M.D.
2750 CLAY EDWARDS DR. STE. 200A
NORTH KANSAS CITY, MO 64116
Phone number: 816-968-9320
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Mailing Address
Dr. COREY BLAINE LEWIS M.D.
P.O. BOX 256
LIBERTY, MO 64069-2233
Phone number: 816-968-9320
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