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1114950482
MISTY ANN DIVIN
BOLIVAR, MO
NPI
1114950482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2003031288)
Enumeration Date
2006-07-09
Last Update Date
2007-07-09
Business Address
Ms. MISTY ANN DIVIN L.P.C.
315 S MAIN AVE
BOLIVAR, MO 65613-2052
Phone number: 417-326-2902
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Mailing Address
Ms. MISTY ANN DIVIN L.P.C.
315 S MAIN AVE P.O. BOX 909
BOLIVAR, MO 65613-2052
Phone number: 417-326-2902
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