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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH J HATFIELD (OWNER)
(660) 259-2031
Entity
Organization

Contact information

Practice address
827 SOUTH HWY 13, LEXINGTON, MO 64067
(660) 259-2031
(660) 259-2008
Mailing address
827 SOUTH HWY 13, LEXINGTON, MO 64067
(660) 259-2031
(660) 259-2008

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6266013106
MO
Enumeration date
07/07/2005
Last updated
11/13/2007
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