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Individual

ABBIGAYLE KATHRYN MCDOUGAL-BENJAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT

Contact information

Practice address
670 KATY DR, BOONVILLE, MO 65233-2886
(573) 207-2607
(660) 530-4090
Mailing address
670 KATY DR, BOONVILLE, MO 65233-2886
(573) 207-2607
(660) 530-4090

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
04/09/2020
Last updated
04/09/2020
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