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1346590957
JUSTIN T BEDFORD
COLUMBIA, MO
NPI
1346590957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2012029887)
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
-- JUSTIN T BEDFORD fnp
401 N KEENE ST
COLUMBIA, MO 65201-6625
Phone number: 573-876-1616
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Mailing Address
-- JUSTIN T BEDFORD fnp
401 N KEENE ST
COLUMBIA, MO 65201-6625
Phone number: 573-876-1616
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