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1629248414
KYLE LISENBY
COLUMBIA, MO
NPI
1629248414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2008006645 m)
Enumeration Date
2008-03-07
Last Update Date
2008-03-07
Business Address
Dr. KYLE LISENBY D.M.D.
303 N KEENE ST SUITE 208
COLUMBIA, MO 65201-6623
Phone number: 573-571-2222
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Mailing Address
Dr. KYLE LISENBY D.M.D.
303 N KEENE ST SUITE 208
COLUMBIA, MO 65201-6623
Phone number: 573-571-2222
Copy
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