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Individual

MRS. CHARLENE POPE WINDSOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
14574 COLORADO RD, DIXON, MO 65459-8262
(573) 759-6815
Mailing address
14574 COLORADO RD, DIXON, MO 65459-8262
(573) 759-6815

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
2005040807
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2005040807
LICENSE
MO
Enumeration date
12/21/2009
Last updated
02/10/2020
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