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1023429362
STEPHANIE HOUSEHOLDER
KENNETT, MO
NPI
1023429362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-05-08
Last Update Date
2014-05-08
Business Address
-- STEPHANIE HOUSEHOLDER PSR Tech
935 HIGHWAY VV
KENNETT, MO 63857-0071
Phone number: 573-888-0642
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Mailing Address
-- STEPHANIE HOUSEHOLDER PSR Tech
925 HIGHWAY V V
KENNETT, MO 63857-0071
Phone number: 573-888-0642
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