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Individual

STACEY DOTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
203 N GRAND ST, SALEM, MO 65560-1344
(573) 729-4103
Mailing address
203 N GRAND ST, SALEM, MO 65560-1344

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2019015945
MO

Other

Enumeration date
08/27/2019
Last updated
08/27/2019
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