Individual
DAWN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
203 N GRAND ST, SALEM, MO 65560-1344
(573) 729-4103
Mailing address
PO DRAWER 459, FARMINGTON, MO 63640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007035290
MO
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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