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1104659713
ELISE K DEWEY
FARMINGTON, MO
NPI
1104659713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2024039608)
Enumeration Date
2024-08-21
Last Update Date
2025-10-28
Business Address
ELISE K DEWEY PA-C
1103 W LIBERTY ST
FARMINGTON, MO 63640-1921
Phone number: 573-760-8090
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Mailing Address
ELISE K DEWEY PA-C
PO BOX 959354
SAINT LOUIS, MO 63195-9354
Phone number: 573-760-8090
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