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1811977572
HENRY F. DOMKE
JEFFERSON CITY, MO
NPI
1811977572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R6A79)
Enumeration Date
2006-01-19
Last Update Date
2008-07-31
Business Address
Dr. HENRY F. DOMKE M.D.
701 W HIGH ST
JEFFERSON CITY, MO 65101-1525
Phone number: 573-634-5400
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Mailing Address
Dr. HENRY F. DOMKE M.D.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-634-5400
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