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1467465799
CHARLES WAYNE JUDY
JEFFERSON CITY, MO
NPI
1467465799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO R3F57)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Dr. CHARLES WAYNE JUDY M.D.
100 ST MARYS HEALTH PLAZA
JEFFERSON CITY, MO 65101
Phone number: 573-761-7011
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Mailing Address
Dr. CHARLES WAYNE JUDY M.D.
901 S OLIVET RD
COLUMBIA, MO 65201-9670
Phone number: 573-256-4007
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