Individual
MICHAELA DAWN DUDENHOEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 W 5TH ST APT A, FULTON, MO 65251-1720
(573) 301-1181
Mailing address
PO BOX 1352, JEFFERSON CTY, MO 65102-1352
(573) 301-1181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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