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1821357864
VICTOR IVAN GOMEZ LORENZO
SPRINGFIELD, MO
NPI
1821357864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2015019926)
Enumeration Date
2012-05-11
Last Update Date
2015-11-05
Business Address
-- VICTOR IVAN GOMEZ LORENZO MD
2115 S FREMONT AVE SUITE 2300
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-5600
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Mailing Address
-- VICTOR IVAN GOMEZ LORENZO MD
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-829-4620
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