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1548462799
BOULWARE MEDICAL CLINIC L.L.C.
LIBERTY, MO
NPI
1548462799
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Entity Type
Organization
Authorized Contact
ROBERT J BOULWARE
Dr.
816-792-5577
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-06-01
Last Update Date
2007-07-27
Business Address
BOULWARE MEDICAL CLINIC L.L.C.
1131 W KANSAS ST
LIBERTY, MO 64068-2281
Phone number: 816-792-5577
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Mailing Address
BOULWARE MEDICAL CLINIC L.L.C.
1131 W KANSAS ST
LIBERTY, MO 64068-2281
Phone number: 816-792-5577
Copy
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