Individual
MRS. LAURA NICOLE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-2663
(573) 472-2669
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-2663
(573) 472-2669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006017304
MO
Other
Enumeration date
04/15/2012
Last updated
04/15/2012
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