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1134483514
ERICA LYNNE IBENDAHL
COLUMBIA, MO
NPI
1134483514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MO 2012017823)
Enumeration Date
2012-06-29
Last Update Date
2020-10-22
Business Address
Mrs. ERICA LYNNE IBENDAHL M.D.
ONE HOSPITAL DRIVE MC 414 MCHANEY HALL
COLUMBIA, MO 65212
Phone number: 573-882-5609
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Mailing Address
Mrs. ERICA LYNNE IBENDAHL M.D.
ONE HOSPITAL DRIVE MC 414 MCHANEY HALL
COLUMBIA, MO 65212
Phone number: 573-882-5609
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