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Individual

DR. GENOVEVA TENORIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1607 E US HIGHWAY 136, ALBANY, MO 64402-8223
(660) 726-3974
(660) 726-3851
Mailing address
PO BOX 176, ALBANY, MO 64402-0176
(660) 726-3974
(660) 726-3851

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35774
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07879044
BCBS
MO
01
10001041401
COMMUNITY HEALTH PLAN
MO
Enumeration date
02/27/2007
Last updated
07/08/2007
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