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1396723706
CASEY S PROUGH
LEES SUMMIT, MO
NPI
1396723706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO 2005016214)
Enumeration Date
2006-01-05
Last Update Date
2014-09-29
Business Address
-- CASEY S PROUGH MD
4045 NE LAKEWOOD WAY SUITE 130
LEES SUMMIT, MO 64064-1799
Phone number: 816-886-2184
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Mailing Address
-- CASEY S PROUGH MD
4045 NE LAKEWOOD WAY SUITE 130
LEES SUMMIT, MO 64064-1799
Phone number: 816-886-2184
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