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1578634259
GARY LEE UPTON
COLUMBIA, MO
NPI
1578634259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R4P93)
Enumeration Date
2006-11-13
Last Update Date
2018-02-16
Business Address
GARY LEE UPTON D.O.
1020 HITT STREET
COLUMBIA, MO 65212-0001
Phone number: 573-882-7481
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Mailing Address
GARY LEE UPTON D.O.
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-882-3300
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