Individual
MS. DEBRA DOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 FREDERICK BLVD, ST JOSEPH, MO 64506
(816) 271-7577
Mailing address
5401 S 3RD ST, SAINT JOSEPH, MO 64504-1611
(816) 271-7757
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248
MO AUDIOLOGIST #
MO
Enumeration date
05/02/2007
Last updated
07/08/2007
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