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Individual

WILLIAM TENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
402 W JEFFERSON ST, KIRKSVILLE, MO 63501-3407
(949) 246-8757
Mailing address
2801 N LINCOLN ST, KIRKSVILLE, MO 63501-2021

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/20/2023
Last updated
06/20/2023
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