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Individual

MRS. LISA DIANE BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4807 WEST BLVD, POPLAR BLUFF, MO 63901-8939
(573) 727-9166
(573) 727-9726
Mailing address
4807 WEST BLVD, POPLAR BLUFF, MO 63901-8939
(573) 727-9166
(573) 727-9726

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
001292
MO

Other

Enumeration date
04/25/2007
Last updated
07/08/2007
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