Individual
DEBORAH JEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 STATE ROUTE VV, KENNETT, MO 63857-9108
(573) 888-5925
Mailing address
875 STATE ROUTE VV, KENNETT, MO 63857-9108
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2001014441
MO
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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