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Individual

PAMELA S. DUBOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
660A S TRUMAN BLVD, FESTUS, MO 63028-2235
(636) 931-3800
(636) 931-3911
Mailing address
660A S TRUMAN BLVD, FESTUS, MO 63028-2235
(636) 931-3800
(636) 931-3911

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012015199
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159046758
AR
Enumeration date
01/23/2006
Last updated
09/26/2012
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