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1720368012
WILLIAM L SUTHERLAND
COLUMBIA, MO
NPI
1720368012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MO 2011026062)
Enumeration Date
2011-08-18
Last Update Date
2011-08-18
Business Address
MR. WILLIAM L SUTHERLAND MED
601 W NIFONG BLVD STE 5A
COLUMBIA, MO 65203-6804
Phone number: 573-424-3316
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Mailing Address
MR. WILLIAM L SUTHERLAND MED
654 W BETHEL DR
COLUMBIA, MO 65203-9696
Phone number: 573-424-3316
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