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Individual

DR. JEANNE PAULINE ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
54 HOSPITAL DR, SUITE 102, OSAGE BEACH, MO 65065-3050
(573) 348-8045
(573) 348-8046
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
2005027545
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207466103
MO
Enumeration date
09/20/2005
Last updated
03/28/2013
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