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1679529853
STATE LINE MEDICAL GROUP LLC
KANSAS CITY, MO
NPI
1679529853
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Entity Type
Organization
Authorized Contact
KEN WASHINGTON
VP
816-333-9886
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-05-26
Last Update Date
2020-08-22
Business Address
STATE LINE MEDICAL GROUP LLC
7611 STATE LINE RD SUITE 103
KANSAS CITY, MO 64114-6801
Phone number: 816-333-9886
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Mailing Address
STATE LINE MEDICAL GROUP LLC
7611 STATE LINE RD SUITE 103
KANSAS CITY, MO 64114-6801
Phone number: 816-333-9886
Copy
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