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Organization
PRACTICE TEE, LLC
Active
Organization
PRACTICE TEE, LLC
Active
Other names
JIBBEN MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JIBBEN DO (OWNER)
(573) 624-8447
Entity
Organization
Contact information
Practice address
1523 W BUSINESS HWY 60, DEXTER, MO 63841
(573) 624-8447
Mailing address
PO BOX 472, DEXTER, MO 63841-0472
(573) 624-8447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
01/07/2014
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