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Individual

MS. JANIS ANN GENDRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,C

Contact information

Practice address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
(417) 257-9162
Mailing address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
(417) 257-9162

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
142290
MO

Other

Enumeration date
07/12/2007
Last updated
09/22/2008
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