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1316049224
TINA BROCKMAN
COLUMBIA, MO
NPI
1316049224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2008010706)
Enumeration Date
2006-09-01
Last Update Date
2016-01-02
Business Address
-- TINA BROCKMAN MD
201 W BROADWAY SUITE 4A
COLUMBIA, MO 65203-3842
Phone number: 573-443-0937
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Mailing Address
-- TINA BROCKMAN MD
1002 STEELHEAD CT
COLUMBIA, MO 65203-6473
Phone number: 573-289-5344
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