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Individual

NATHASIA DORSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20970 LYNWOOD RD, WAYNESVILLE, MO 65583-4601
(573) 596-0131
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
055375
MO
2355A2700X
Audiology Assistant
Primary

Other

Enumeration date
12/06/2010
Last updated
12/06/2010
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