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1750067138
DALLAS GARRISON
FAYETTE, MO
NPI
1750067138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2023024599)
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
DALLAS GARRISON DO
308 S CHURCH ST
FAYETTE, MO 65248-1243
Phone number: 660-248-2217
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Mailing Address
DALLAS GARRISON DO
1 HOSPITAL DR
COLUMBIA, MO 65201-5276
Phone number: 573-884-2912
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