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1558455196
MITCHELL TERUICHI GODBEE
JEFFERSON CITY, MO
NPI
1558455196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 2005001988)
Enumeration Date
2006-10-03
Last Update Date
2007-12-27
Business Address
-- MITCHELL TERUICHI GODBEE MD
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5265
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Mailing Address
-- MITCHELL TERUICHI GODBEE MD
PO BOX 7687
COLUMBIA, MO 65202
Phone number: 573-882-2259
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