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1942820519
STEPHEN ANTHONY FUSELLI
COLUMBIA, MO
NPI
1942820519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: MO 2020009917)
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
Dr. STEPHEN ANTHONY FUSELLI MD
619 N PROVIDENCE RD
COLUMBIA, MO 65203-4355
Phone number: 573-234-1070
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Mailing Address
Dr. STEPHEN ANTHONY FUSELLI MD
4810 CLARK LN APT 102
COLUMBIA, MO 65202-9970
Phone number: 256-453-5056
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