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Organization
WENTWORTH MILITARY ACADEMY AND JUNIOR COLLEGE
Active
Organization
WENTWORTH MILITARY ACADEMY AND JUNIOR COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WILLAIM LIERMAN (CHIEF OF STAFF)
(660) 259-2221
Entity
Organization
Contact information
Practice address
1880 WASHINGTON AVE, LEXINGTON, MO 64067-1708
(660) 259-2221
(660) 259-2677
Mailing address
1880 WASHINGTON AVE, LEXINGTON, MO 64067-1708
(660) 259-2221
(660) 259-2677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105321
MO
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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