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TAMMIE LYNN STATLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-6545
Mailing address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-5925

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RO84143
AR

Other

Enumeration date
08/01/2017
Last updated
08/01/2017
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