Individual
DEBRA JEAN STUNTEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 W 1ST ST, ADRIAN, MO 64720-9277
(916) 297-2107
Mailing address
12730 CAMBRIDGE AVE, GRANDVIEW, MO 64030-2044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011034840
MO
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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