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1598252835
DAVID RENE MANTILLA
LEES SUMMIT, MO
NPI
1598252835
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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
2018-04-20
Last Update Date
2018-04-20
Business Address
Dr. DAVID RENE MANTILLA MD
2100 SE BLUE PKWY
LEES SUMMIT, MO 64063-1007
Phone number: 816-282-5000
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Mailing Address
Dr. DAVID RENE MANTILLA MD
5721 W 119TH ST
OVERLAND PARK, KS 66209-3722
Phone number: 913-498-6000
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