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1194220244
TANYA RODEWALD
CAPE GIRARDEAU, MO
NPI
1194220244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2018010937)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
TANYA RODEWALD CPNP-PC
25 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4927
Phone number: 573-331-6750
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Mailing Address
TANYA RODEWALD CPNP-PC
25 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4927
Phone number: 573-331-6750
Copy
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