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Organization
PAABS LLC
Active
Organization
PAABS LLC
Active
Other names
Old Town PAABS
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE BECKER PHARM (AUTHORIZED OFFICIAL / DIRECTOR)
(417) 635-1100
Entity
Organization
Contact information
Practice address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
(417) 635-1100
Mailing address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
(417) 635-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
03/09/2020
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