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1437428521
WAYNE R HAWKS
COLUMBIA, MO
NPI
1437428521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 011312)
Enumeration Date
2011-12-20
Last Update Date
2011-12-20
Business Address
Mr. WAYNE R HAWKS D.M.D.
3015 S PROVIDENCE RD SUITE 4
COLUMBIA, MO 65203-3670
Phone number: 573-449-2941
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Mailing Address
Mr. WAYNE R HAWKS D.M.D.
3015 S PROVIDENCE RD SUITE 4
COLUMBIA, MO 65203-3670
Phone number: 573-449-2941
Copy
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