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1528007416
DEATRICE LUMAE KELLOGG
SPRINGFIELD, MO
NPI
1528007416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2012030150)
Enumeration Date
2006-06-06
Last Update Date
2024-06-04
Business Address
DEATRICE LUMAE KELLOGG MD
4457 S FARM ROAD 145
SPRINGFIELD, MO 65810-1414
Phone number: 417-830-4701
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Mailing Address
DEATRICE LUMAE KELLOGG MD
4457 S FARM ROAD 145
SPRINGFIELD, MO 65810-1414
Phone number: 417-830-4701
Copy
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