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Individual

MRS. DEBRA ANN ABBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
626 E SUMMIT ST, MEXICO, MO 65265-3298
(573) 581-6930
(573) 581-4904
Mailing address
11636 AUDRAIN ROAD 945, THOMPSON, MO 65285-2445
(573) 581-1819
(573) 581-4904

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043102
MO

Other

Enumeration date
08/26/2010
Last updated
08/26/2010
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