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1164575965
MICAH OSBORNE MAZUREK
COLUMBIA, MO
NPI
1164575965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MO 2006016143)
Enumeration Date
2007-01-18
Last Update Date
2010-10-28
Business Address
DR. MICAH OSBORNE MAZUREK PH.D.
205 PORTLAND ST
COLUMBIA, MO 65201-6521
Phone number: 573-884-8502
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Mailing Address
DR. MICAH OSBORNE MAZUREK PH.D.
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259
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