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Individual

RENEE C ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 CENTRAL AVE, PATTONSBURG, MO 64670
(660) 367-4304
(660) 367-4350
Mailing address
1600 E EVERGREEN ST, PO BOX 557, CAMERON, MO 64429-2400
(816) 632-2101
(816) 649-3383

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102653
MO

Other

Enumeration date
12/08/2005
Last updated
12/02/2010
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