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1386833358
MARK LEWIS VANDEWALKER
COLUMBIA, MO
NPI
1386833358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207KA0200X Allergy & Immunology, Allergy
(Licence: MO R2F17)
Enumeration Date
2007-10-16
Last Update Date
2007-10-16
Business Address
Dr. MARK LEWIS VANDEWALKER M.D.
601 W NIFONG BLVD SUITE 2B
COLUMBIA, MO 65203-6804
Phone number: 573-446-7000
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Mailing Address
Dr. MARK LEWIS VANDEWALKER M.D.
601 W NIFONG BLVD SUITE 2B
COLUMBIA, MO 65203-6804
Phone number: 573-446-7000
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