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1124571302
CALVIN SOLOMON TAI
COLUMBIA, MO
NPI
1124571302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2016026589)
Enumeration Date
2016-07-25
Last Update Date
2017-12-26
Business Address
CALVIN SOLOMON TAI MB,BCh,BAO
551 E SOUTHAMPTON DR
COLUMBIA, MO 65201-4236
Phone number: 573-884-7733
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Mailing Address
CALVIN SOLOMON TAI MB,BCh,BAO
1 HOSPITAL DR MA303, DC032.00
COLUMBIA, MO 65212-1000
Phone number:
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