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1972596427
STANLEY P HUMPHREYS
COLUMBIA, MO
NPI
1972596427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 102759)
Enumeration Date
2005-08-30
Last Update Date
2008-07-30
Business Address
STANLEY P HUMPHREYS PA-C
1 S KEENE ST
COLUMBIA, MO 65201-7199
Phone number: 573-443-2402
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Mailing Address
STANLEY P HUMPHREYS PA-C
1 S KEENE ST
COLUMBIA, MO 65201-7199
Phone number: 573-443-2402
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