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Individual

STEPHENSON DAVID CRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1304 DUVAL CT, COLUMBIA, MO 65203-5335
(573) 823-0464
Mailing address
1304 DUVAL CT, COLUMBIA, MO 65203-5335
(573) 823-0464

Taxonomy

Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
2020031826
MO

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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