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1336309228
EDGAR M CONRAD IV, LLC
JOPLIN, MO
NPI
1336309228
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Entity Type
Organization
Authorized Contact
EDGAR M CONRAD
Proprietor
414-782-3292
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 107748)
Enumeration Date
2008-06-13
Last Update Date
2008-08-11
Business Address
EDGAR M CONRAD IV, LLC
2700 CUNNINGHAM AVE SUITE 103
JOPLIN, MO 64801-1570
Phone number: 417-782-3292
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Mailing Address
EDGAR M CONRAD IV, LLC
2700 CUNNINGHAM AVE SUITE 103
JOPLIN, MO 64801-1570
Phone number: 417-782-3292
Copy
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