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Individual

ROBERT JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2319 BROADWAY, HANNIBAL, MO 63401-3720
(573) 221-1155
(573) 221-1558
Mailing address
9028 COUNTY ROAD 422, HANNIBAL, MO 63401-6818

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12513
MO

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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