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Individual

STEFEN FOX SHATTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L. AC.

Contact information

Practice address
2600 FORUM BLVD STE B2, COLUMBIA, MO 65203-6343
(573) 833-4296
Mailing address
2600 FORUM BLVD STE B2, COLUMBIA, MO 65203-6343
(573) 833-4296

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2017044204
MO

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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