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Individual

MRS. LEIA ANN MCDERMOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
586 N WASHINGTON AVE, LEBANON, MO 65536-2762
(417) 533-5700
Mailing address
586 N WASHINGTON AVE, LEBANON, MO 65536-2762
(417) 533-5700

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
LC0972329
MO

Other

Enumeration date
06/12/2009
Last updated
06/12/2009
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