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1336345677
BRUCE G CORNELIUS
KANSAS CITY, MO
NPI
1336345677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO 2007017269)
Enumeration Date
2007-06-24
Last Update Date
2007-07-08
Business Address
-- BRUCE G CORNELIUS MD
1000 E 24TH ST
KANSAS CITY, MO 64108-2776
Phone number: 612-822-2242
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Mailing Address
-- BRUCE G CORNELIUS MD
3437 HOLMES ST
KANSAS CITY, MO 64109-2360
Phone number: 612-822-2242
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