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1558190686
STEFANUS LIM
KANSAS CITY, MO
NPI
1558190686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
STEFANUS LIM
3728 TRACY AVE
KANSAS CITY, MO 64109-2725
Phone number: 949-307-5612
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Mailing Address
STEFANUS LIM
3728 TRACY AVE
KANSAS CITY, MO 64109-2725
Phone number: 949-307-5612
Copy
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