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Individual

DEIDRA IRENE DALSING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1901 E DIVISION ST, SPRINGFIELD, MO 65803-4516
(417) 866-7702
Mailing address
207 N BLUEBIRD LN, NIXA, MO 65714-8461
(417) 725-5867

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045143
MO

Other

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