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1508249269
JOANITA IDICULA
KANSAS CITY, MO
NPI
1508249269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2015017265)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- JOANITA IDICULA
6675 HOLMES RD SUITE 450
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7650
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Mailing Address
-- JOANITA IDICULA
6675 HOLMES RD SUITE 450
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7650
Copy
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