Individual
DAWNEE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(573) 774-3121
(573) 774-2235
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(573) 774-3121
(573) 774-2235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2006010778
MO
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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