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Individual

DIANA HUGHES DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1205 GRINDSTONE PKWY, SUITE 113, COLUMBIA, MO 65201
(573) 442-5725
(573) 442-5747
Mailing address
1205 GRINDSTONE PKWY, SUITE 113, COLUMBIA, MO 65201-3755
(573) 442-5725
(573) 442-5747

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006010743
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18003368
UPIN PENDING
01
2006010743
MO
MO
Enumeration date
05/16/2006
Last updated
05/25/2018
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