Individual
JULIE ANN CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 HIGHWAY OO, FARMINGTON, MO 63640-7306
(314) 650-2565
Mailing address
2629 HIGHWAY OO, FARMINGTON, MO 63640-7306
(314) 650-2565
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
E2613830
MO
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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