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1770276123
SUJI BASKAR
JOPLIN, MO
NPI
1770276123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
Dr. SUJI BASKAR D.O.
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-6612
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Mailing Address
Dr. SUJI BASKAR D.O.
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-6612
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