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MRS. CORRIE MAE DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
150 S MOUNT AUBURN RD, SUITE 318, CAPE GIRARDEAU, MO 63703-4911
(573) 339-1166
(573) 339-7166
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(708) 633-1234
(708) 342-7100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011022113
MO

Other

Enumeration date
07/18/2011
Last updated
10/01/2012
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