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1104862861
DEAN A. CARLSON
SPRINGFIELD, MO
NPI
1104862861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2004032522)
Enumeration Date
2006-06-21
Last Update Date
2011-10-25
Business Address
Mr. DEAN A. CARLSON P.A.
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2115
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Mailing Address
Mr. DEAN A. CARLSON P.A.
PO BOX 504274
SAINT LOUIS, MO 63150-4274
Phone number: 417-829-4620
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