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Organization

WESTERN JOHNSON COUNTY MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY BLAYLOCK (OFFICE MANAGER)
(816) 597-3500
Entity
Organization

Contact information

Practice address
305 E PACIFIC ST, KINGSVILLE, MO 64061-2512
(816) 597-3500
(816) 597-3555
Mailing address
PO BOX 111, KINGSVILLE, MO 64061-0111
(816) 597-3500
(816) 597-3555

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/18/2006
Last updated
09/07/2007
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