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1881647972
MARTHA S TERRY
COLUMBIA, MO
NPI
1881647972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 108522)
Enumeration Date
2006-05-18
Last Update Date
2007-07-08
Business Address
-- MARTHA S TERRY MD
3217 S PROVIDENCE RD
COLUMBIA, MO 65203-3639
Phone number: 573-884-9191
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Mailing Address
-- MARTHA S TERRY MD
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259
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