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1578131256
JORDAN WALTER CRUZ
COLUMBIA, MO
NPI
1578131256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO 2021020576)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
JORDAN WALTER CRUZ
1 HOSPITAL DR
COLUMBIA, MO 65212-1000
Phone number: 573-882-2568
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Mailing Address
JORDAN WALTER CRUZ
1 HOSPITAL DR
COLUMBIA, MO 65212-1000
Phone number: 573-882-2568
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