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Individual

DAWN MARIE MOUNCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
HIGHWAY 49 SOUTH, ANNAPOLIS, MO 63620
(573) 598-4213
(573) 598-4602
Mailing address
128 PINE ST, IRONTON, MO 63650-9122
(573) 546-3267

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
054114
MO

Other

Enumeration date
09/11/2006
Last updated
07/08/2007
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