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1497798458
TERRY E CARLISLE
COLUMBIA, MO
NPI
1497798458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 102772)
Enumeration Date
2006-06-14
Last Update Date
2022-10-05
Business Address
TERRY E CARLISLE PA
1 HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-882-8091
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Mailing Address
TERRY E CARLISLE PA
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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