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1437107919
LAURA N WEIDT
COLUMBIA, MO
NPI
1437107919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: MO 2005012205)
Enumeration Date
2006-05-05
Last Update Date
2007-07-08
Business Address
-- LAURA N WEIDT M.D.
401 KEENE ST
COLUMBIA, MO 65201-6625
Phone number: 573-876-1620
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Mailing Address
-- LAURA N WEIDT M.D.
401 KEENE ST
COLUMBIA, MO 65201-6625
Phone number: 573-876-1620
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