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Individual

YULIA PENISTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
861 FAIRWAY DR, CHILLICOTHE, MO 64601-3673
(913) 680-9830
Mailing address
861 FAIRWAY DR, CHILLICOTHE, MO 64601-3673
(913) 680-9830

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011021726
MO

Other

Enumeration date
05/30/2007
Last updated
02/01/2022
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