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Organization

INEZ SHIELDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMI BOBBETT (OFFICE MANAGER)
(417) 944-1440
Entity
Organization

Contact information

Practice address
130 S MAIN ST, LIBERAL, MO 64762-9314
(417) 667-1768
(417) 944-1440
Mailing address
229 N DENTON, LIBERAL, MO 64762-9269
(417) 667-1768
(417) 944-1440

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/22/2011
Last updated
03/22/2011
About Stedi
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  • EDI platform