Individual
MRS. BROOK FEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2913 BEDOLL AVE, POPLAR BLUFF, MO 63901-6809
(573) 785-0903
(573) 756-2109
Mailing address
2913 BEDOLL AVE, POPLAR BLUFF, MO 63901-6809
(573) 785-0903
(573) 756-2109
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
032245
MO
Other
Enumeration date
03/30/2007
Last updated
07/09/2007
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