Individual
JOLIE DUFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(573) 694-1789
Mailing address
3713 VIOLA VW, JEFFERSON CITY, MO 65101-8584
(573) 694-1789
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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