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1487068813
JOHN CHARLES BALLANTYNE
COLUMBIA, MO
NPI
1487068813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2014017807)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
-- JOHN CHARLES BALLANTYNE M.D.
1 HOSPITAL DR MA303, DC032.00
COLUMBIA, MO 65212-1000
Phone number: 573-884-7733
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Mailing Address
-- JOHN CHARLES BALLANTYNE M.D.
1 HOSPITAL DR MA303, DC032.00
COLUMBIA, MO 65212-1000
Phone number: 573-884-7733
Copy
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