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1720194491
THEODORE MARTIN WILLMORE
JEFFERSON CITY, MO
NPI
1720194491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2000153519)
Enumeration Date
2006-08-22
Last Update Date
2012-12-07
Business Address
Dr. THEODORE MARTIN WILLMORE M.D.
100 SAINT MARYS PLZ
JEFFERSON CITY, MO 65101-1602
Phone number: 573-761-7011
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Mailing Address
Dr. THEODORE MARTIN WILLMORE M.D.
4102 BIG SUR BLVD
COLUMBIA, MO 65203-6704
Phone number: 573-447-1851
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