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1881648426
JAMIE L TICGELAOR
COLUMBIA, MO
NPI
1881648426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2003022260)
Enumeration Date
2006-05-19
Last Update Date
2019-04-11
Business Address
JAMIE L TICGELAOR PA
1 HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-882-8091
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Mailing Address
JAMIE L TICGELAOR PA
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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