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1922099506
PATRICK G. SPORLEDER
JEFFERSON CITY, MO
NPI
1922099506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R4N43)
Enumeration Date
2005-11-02
Last Update Date
2015-10-07
Business Address
-- PATRICK G. SPORLEDER D.O.
3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109-5715
Phone number: 573-761-7979
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Mailing Address
-- PATRICK G. SPORLEDER D.O.
PO BOX 1027
JEFFERSON CITY, MO 65102-1027
Phone number: 573-681-3767
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