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1215139506
NICHOLAS L WANNA
COLUMBIA, MO
NPI
1215139506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MO 2006034062)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
-- NICHOLAS L WANNA D.C.
3302 W BROADWAY BUSINESS PARK CT SUITE D
COLUMBIA, MO 65203-0169
Phone number: 573-445-3702
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Mailing Address
-- NICHOLAS L WANNA D.C.
2005 FLAT ROCK PL
COLUMBIA, MO 65203-8590
Phone number: 573-445-3702
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