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1447741681
RENOVA MEDICAL CENTER, LLC
COLUMBIA, MO
NPI
1447741681
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Entity Type
Organization
Authorized Contact
KERRIE J ROSE
Owner
573-228-0217
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
RENOVA MEDICAL CENTER, LLC
1401 FORUM BLVD STE 101
COLUMBIA, MO 65203-1915
Phone number: 573-228-0217
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Mailing Address
RENOVA MEDICAL CENTER, LLC
1401 FORUM BLVD STE 101
COLUMBIA, MO 65203-1915
Phone number: 573-228-0217
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