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1043250301
CHARLES E LONGMOOR
WEST PLAINS, MO
NPI
1043250301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 105540)
Enumeration Date
2006-06-07
Last Update Date
2007-07-09
Business Address
-- CHARLES E LONGMOOR MD
1100 KENTUCKY AVENUE
WEST PLAINS, MO 65775
Phone number: 417-256-9111
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Mailing Address
-- CHARLES E LONGMOOR MD
152 LEMAY FERRY RD SUITE 201
SAINT LOUIS, MO 63125-1253
Phone number: 800-354-1088
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