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1134487440
KAREN DERRICK
COLUMBIA, MO
NPI
1134487440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 2001025251)
Enumeration Date
2012-04-25
Last Update Date
2012-04-25
Business Address
-- KAREN DERRICK RD
1 HOSPITAL DR # GE26
COLUMBIA, MO 65201-5276
Phone number: 573-882-2251
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Mailing Address
-- KAREN DERRICK RD
1505 CUNNINGHAM RD
COLUMBIA, MO 65203-4717
Phone number: 573-882-2251
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