EBO MD LLC

CAPE GIRARDEAU, MO
NPI1326503376
Entity TypeOrganization
Authorized ContactGENNI L OURTH
Manager
573-803-2941
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2019-02-04
Last Update Date2019-02-04
Business Address
EBO MD LLC
1417 N MOUNT AUBURN RD STE A
CAPE GIRARDEAU, MO 63701-2171
Phone number: 573-803-2941
Mailing Address
EBO MD LLC
1417 N MOUNT AUBURN RD STE A
CAPE GIRARDEAU, MO 63701-2171
Phone number: 573-803-2941
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