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Individual

DEBORAH CRIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
210 HOOVER ST, JEFFERSON CITY, MO 65109-0800
(573) 632-4321
Mailing address
210 HOOVER ST, JEFFERSON CITY, MO 65109-0800

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2006035282
MO

Other

Enumeration date
11/27/2017
Last updated
11/27/2017
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