Individual
DEEANNA LYNN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 S. 2ND ST., ELLINGTON, MO 63638
(573) 663-2313
(573) 663-2441
Mailing address
PO BOX 700, ELLINGTON, MO 63638-0700
(573) 663-7432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124123
MO
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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