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1720347867
ABIGAIL CRISOSTOMO
ROLLA, MO
NPI
1720347867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2012003234)
Enumeration Date
2012-05-10
Last Update Date
2012-12-20
Business Address
-- ABIGAIL CRISOSTOMO MD
1605 MARTIN SPRINGS DR STE 210
ROLLA, MO 65401-2931
Phone number: 573-458-6326
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Mailing Address
-- ABIGAIL CRISOSTOMO MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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