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1972922698
TAINA JAUSURAWONG HUDSON
OVERLAND PARK, KS
NPI
1972922698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: MO 2017013107)
Enumeration Date
2014-04-09
Last Update Date
2020-09-10
Business Address
TAINA JAUSURAWONG HUDSON
5808 W 110TH ST
OVERLAND PARK, KS 66211-2504
Phone number: 913-696-8000
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Mailing Address
TAINA JAUSURAWONG HUDSON
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3000
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