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1487049250
JOHN FERNANDO
COLUMBIA, MO
NPI
1487049250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2018023711)
Enumeration Date
2015-03-30
Last Update Date
2024-11-18
Business Address
JOHN FERNANDO
1000 W NIFONG BLVD STE 120
COLUMBIA, MO 65203-5615
Phone number: 573-444-6331
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Mailing Address
JOHN FERNANDO
4508 ROYAL LYTHAM DR
COLUMBIA, MO 65203-5689
Phone number: 573-355-2429
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