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1417038688
JOHN SALLIS
KANSAS CITY, MO
NPI
1417038688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MO 2002011268)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- JOHN SALLIS PA-C
3801 BLUE PKWY
KANSAS CITY, MO 64130-2807
Phone number: 816-922-7645
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Mailing Address
-- JOHN SALLIS PA-C
3811 BLUE PARKWAY
KANSS CITY, MO 64130-2807
Phone number:
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