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1689650509
BRIAN W. HERRBOLD
JEFFERSON CITY, MO
NPI
1689650509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2004008549)
Enumeration Date
2005-12-22
Last Update Date
2008-07-31
Business Address
Dr. BRIAN W. HERRBOLD D.O.
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7704
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Mailing Address
Dr. BRIAN W. HERRBOLD D.O.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-556-7704
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