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1528753217
TANNER SCOT MAGRUDER
KANSAS CITY, MO
NPI
1528753217
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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
2023-04-07
Last Update Date
2023-04-26
Business Address
TANNER SCOT MAGRUDER DO
4401 WORNALL RD
KANSAS CITY, MO 64111-3241
Phone number: 816-932-2107
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Mailing Address
TANNER SCOT MAGRUDER DO
2411 HOLMES ST # M1-125A
KANSAS CITY, MO 64108-2741
Phone number:
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