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1700630183
UDUAK AGNES UDONGWO
GRANDVIEW, MO
NPI
1700630183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2024009162)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
UDUAK AGNES UDONGWO
13013 FULLER AVE STE A
GRANDVIEW, MO 64030-2687
Phone number: 816-214-5548
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Mailing Address
UDUAK AGNES UDONGWO
13013 FULLER AVE STE A
GRANDVIEW, MO 64030-2687
Phone number:
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