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1942291000
TIMOTHY WAYNE CRAIN
FORT LEONARD WOOD, MO
NPI
1942291000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: OK 15980)
Enumeration Date
2005-10-28
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY WAYNE CRAIN M.D.
126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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Mailing Address
Dr. TIMOTHY WAYNE CRAIN M.D.
126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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