Individual
ALICIA ROBIN COURSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCHT
Contact information
Practice address
2101 W BROADWAY ST, BOLIVAR, MO 65613-1888
(417) 326-3112
Mailing address
2087 E 430TH RD, HALF WAY, MO 65663-9131
(417) 399-9210
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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