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Individual

JEFFERY DAWES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3019 FAIR ST, POPLAR BLUFF, MO 63901-7044
(573) 778-9300
(573) 778-9358
Mailing address
HC 73 BOX 2790, FAIRDEALING, MO 63939-9308
(573) 778-1343
(573) 778-9358

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2002024240
MO

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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