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1922448430
ANGEL JAIME ENCISO
COLUMBIA, MO
NPI
1922448430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MO 2013021638)
Enumeration Date
2013-06-28
Last Update Date
2013-06-28
Business Address
-- ANGEL JAIME ENCISO MD
500 N KEENE ST SUITE 400
COLUMBIA, MO 65201-8104
Phone number: 573-817-3096
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Mailing Address
-- ANGEL JAIME ENCISO MD
402 N KEENE ST 3RD FLOOR
COLUMBIA, MO 65201-6986
Phone number: 573-499-6084
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