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1063894046
KATHERINE BLOUNT
COLUMBIA, MO
NPI
1063894046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2015017797)
Enumeration Date
2015-06-25
Last Update Date
2020-12-18
Business Address
KATHERINE BLOUNT DO
404 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-882-4438
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Mailing Address
KATHERINE BLOUNT DO
400 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-882-4438
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