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1396591020
TIMOTHY CHURCH MAYES
JOPLIN, MO
NPI
1396591020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
TIMOTHY CHURCH MAYES DO
1102 W 32ND ST
JOPLIN, MO 64804-3594
Phone number: 417-347-4650
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Mailing Address
TIMOTHY CHURCH MAYES DO
3820 NW BARRY RD APT D
KANSAS CITY, MO 64154-3766
Phone number: 913-653-5291
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