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1700455474
JACOB JOSEPH RUSK
COLUMBIA, MO
NPI
1700455474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2021022587)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
JACOB JOSEPH RUSK MD
619 N PROVIDENCE RD
COLUMBIA, MO 65203-4355
Phone number: 573-234-1070
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Mailing Address
JACOB JOSEPH RUSK MD
105 N GARTH AVE
COLUMBIA, MO 65203-4100
Phone number:
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