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1548019946
MCKENZIE WALLACE
COLUMBIA, MO
NPI
1548019946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MO 2024023604)
Enumeration Date
2024-05-16
Last Update Date
2024-06-24
Business Address
MCKENZIE WALLACE MD
M263 MEDICAL SCIENCE BUILDING ONE HOSPITAL DRIVE
COLUMBIA, MO 65212-0001
Phone number: 573-882-3014
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Mailing Address
MCKENZIE WALLACE MD
M263 MEDICAL SCIENCE BUILDING ONE HOSPITAL DRIVE
COLUMBIA, MO 65212-0001
Phone number: 573-882-3014
Copy
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