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Individual

JAMIE DEKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2725 N WESTWOOD BLVD, STE 16, POPLAR BLUFF, MO 63901-2346
(573) 686-5510
(573) 686-6846
Mailing address
2725 N WESTWOOD BLVD, STE 16, POPLAR BLUFF, MO 63901-2346
(573) 686-5510
(573) 686-6846

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017008020
MO

Other

Enumeration date
04/27/2017
Last updated
04/27/2017
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