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Individual

LASHAWNA STATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
211 N MASON ST, CARROLLTON, MO 64633-2160
(816) 319-2337
Mailing address
506 WALNUT ST, CARROLLTON, MO 64633-2053
(816) 560-8558

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012027428
MO

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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