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1487275517
TRAVIS IKE OGOGOR
KANSAS CITY, MO
NPI
1487275517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-29
Last Update Date
2020-04-29
Business Address
TRAVIS IKE OGOGOR DO
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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Mailing Address
TRAVIS IKE OGOGOR DO
25823 SARAH SPRINGS CT
SPRING, TX 77373-4980
Phone number: 816-349-1322
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