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Individual

MAKAYLA JOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1150 STATE HIGHWAY 248 STE 200, BRANSON, MO 65616-4186
(417) 336-4112
Mailing address
2042 N JEFFERSON AVE, SPRINGFIELD, MO 65803-2924
(573) 318-4047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2026006193
MO

Other

Enumeration date
04/14/2026
Last updated
04/14/2026
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