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1821069345
JACK M DODSON
JEFFERSON CITY, MO
NPI
1821069345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 101346)
Enumeration Date
2006-02-01
Last Update Date
2015-08-14
Business Address
Dr. JACK M DODSON M.D.
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
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Mailing Address
Dr. JACK M DODSON M.D.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-635-5264
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