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1376536458
GARY E. BODENHAUSEN
BLUE SPRINGS, MO
NPI
1376536458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO MDR6442)
Enumeration Date
2005-08-24
Last Update Date
2011-12-05
Business Address
Dr. GARY E. BODENHAUSEN M.D.
104 NO. 7 HIGHWAY STE B
BLUE SPRINGS, MO 64014
Phone number: 816-229-8880
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Mailing Address
Dr. GARY E. BODENHAUSEN M.D.
104 NO. 7 HIGHWAY STE B
BLUE SPRINGS, MO 64014
Phone number: 816-229-8880
Copy
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