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1205453651
ELLY A RANUM
COLUMBIA, MO
NPI
1205453651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: MO 2023015015)
Enumeration Date
2020-07-01
Last Update Date
2023-08-08
Business Address
ELLY A RANUM MD
404 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-882-4438
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Mailing Address
ELLY A RANUM MD
205 PORTLAND ST
COLUMBIA, MO 65201-6521
Phone number: 573-884-1245
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