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1194364463
DEZZIRAEE N NIXON
KENNETT, MO
NPI
1194364463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2015030101)
Enumeration Date
2020-01-03
Last Update Date
2020-01-03
Business Address
DEZZIRAEE N NIXON LPN
900 STATE ROUTE VV
KENNETT, MO 63857-3834
Phone number: 573-559-2365
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Mailing Address
DEZZIRAEE N NIXON LPN
900 STATE ROUTE VV
KENNETT, MO 63857-3834
Phone number: 573-559-2365
Copy
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