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1366548521
ROGER L JACKMAN
COLUMBIA, MO
NPI
1366548521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO R8620)
Enumeration Date
2006-09-15
Last Update Date
2007-07-09
Business Address
Dr. ROGER L JACKMAN M.D.
3400 BUTTONWOOD DR STE C
COLUMBIA, MO 65201-3720
Phone number: 573-443-0551
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Mailing Address
Dr. ROGER L JACKMAN M.D.
2269 E BUFFALO DR
COLUMBIA, MO 65202-6683
Phone number: 573-214-0008
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