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Organization

FAMILY HEALTH MEDICAL PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI L FOLSOM DO (OWNER)
(660) 259-2240
Entity
Organization

Contact information

Practice address
825 S HIGHWAY 13, LEXINGTON, MO 64067-1515
(660) 259-2240
(660) 259-2250
Mailing address
825 S HIGHWAY 13, LEXINGTON, MO 64067-1515
(660) 259-2240
(660) 259-2250

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MO
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
08/14/2006
Last updated
11/11/2010
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