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1184945131
FANG WEN
COLUMBIA, MO
NPI
1184945131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: MO 2010017404)
Enumeration Date
2010-06-14
Last Update Date
2010-06-14
Business Address
FANG WEN
1 HOSPITAL DR GME, DC018.00, MA101
COLUMBIA, MO 65201-5276
Phone number: 573-882-1201
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Mailing Address
FANG WEN
1 HOSPITAL DR GME, DC018.00, MA101
COLUMBIA, MO 65201-5276
Phone number: 573-882-1201
Copy
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