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1386362481
LAEL DAVIS
OZARK, MO
NPI
1386362481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2020033962)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
-- LAEL DAVIS MD
5571 N 21ST ST
OZARK, MO 65721-7488
Phone number: 417-317-5330
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Mailing Address
-- LAEL DAVIS MD
5571 N 21ST ST
OZARK, MO 65721-7488
Phone number: 417-317-5330
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OZARK VALLEY MEDICAL CLINIC, LLC