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Individual

RAMONDA LYNN DUGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1011 S EAST ST, MOUNT VERNON, MO 65712-1399
(417) 466-7191
(417) 466-3876
Mailing address
1011 S EAST ST, MOUNT VERNON, MO 65712-1399
(417) 466-7191
(417) 466-3876

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019033626
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
590665907
MO
05
810548866
MO
Enumeration date
08/28/2019
Last updated
01/02/2020
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