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1124051495
STACEY DIANN CHILDERS-TEEPLE
WEST PLAINS, MO
NPI
1124051495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2001033005)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
Mrs. STACEY DIANN CHILDERS-TEEPLE OTR/L
1480 8TH ST
WEST PLAINS, MO 65775-2010
Phone number: 417-256-5669
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Mailing Address
Mrs. STACEY DIANN CHILDERS-TEEPLE OTR/L
RR 2 BOX 2445
DORA, MO 65637-9306
Phone number: 417-261-2210
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