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1407991680
GENESIS PLASTIC SURGERY PC
LIBERTY, MO
NPI
1407991680
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Entity Type
Organization
Authorized Contact
FRED E THOMPSON
Owner
816-781-3371
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
Enumeration Date
2007-02-21
Last Update Date
2020-08-22
Business Address
GENESIS PLASTIC SURGERY PC
100 WESTWOODS DR
LIBERTY, MO 64068
Phone number: 816-781-3371
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Mailing Address
GENESIS PLASTIC SURGERY PC
100 WESTWOODS DR
LIBERTY, MO 64068
Phone number: 816-781-3371
Copy
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FREDERICK EUGENE THOMPSON