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1568429066
JAY MATTHEW PORTNOY
KANSAS CITY, MO
NPI
1568429066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: MO R5E99)
Enumeration Date
2006-04-27
Last Update Date
2011-05-26
Business Address
Dr. JAY MATTHEW PORTNOY MD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3097
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Mailing Address
Dr. JAY MATTHEW PORTNOY MD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3097
Copy
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