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1184259145
TERRANCE MCCLELLAN
CARUTHERSVILLE, MO
NPI
1184259145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
TERRANCE MCCLELLAN
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830-8113
Phone number: 573-333-5875
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Mailing Address
TERRANCE MCCLELLAN
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830-8113
Phone number: 573-333-5875
Copy
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