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1730717265
JORDAN CHRISTOPHER SOUTAS
KANSAS CITY, KS
NPI
1730717265
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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
2020-03-30
Last Update Date
2020-04-06
Business Address
JORDAN CHRISTOPHER SOUTAS DO
3901 RAINBOW BLVD
KANSAS CITY, KS 66160-8500
Phone number: 913-588-5000
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Mailing Address
JORDAN CHRISTOPHER SOUTAS DO
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160-8500
Phone number: 913-588-6050
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