Individual
DUSTIN LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 HOMECREST ST, KENNETT, MO 63857-1588
(573) 559-2430
Mailing address
1121 HOMECREST ST, KENNETT, MO 63857-1588
(573) 559-2430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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