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1760187199
ELISSA MAE FREBERG
KANSAS CITY, KS
NPI
1760187199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: KS 94-11515)
Enumeration Date
2023-04-04
Last Update Date
2023-10-05
Business Address
ELISSA MAE FREBERG MD
3901 RAINBOW BLVD # MS 4015
KANSAS CITY, KS 66160-8500
Phone number: 913-588-6412
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Mailing Address
ELISSA MAE FREBERG MD
3901 RAINBOW BLVD # MS 4015
KANSAS CITY, KS 66160-8500
Phone number: 913-588-6412
Copy
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