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Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Other names
Missouri Ozarks Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEINLEIN (COO)
(417) 683-4831
Entity
Organization
Contact information
Practice address
135 COLLEGE AVE., LICKING, MO 65542
(417) 683-4831
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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