ROOSEVELT DISMUKES

HAYTI, MO
NPI1225525744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-04-19
Last Update Date2018-04-19
Business Address
ROOSEVELT DISMUKES
500 HIGHWAY 61 N J
HAYTI, MO 63851
Phone number: 573-359-2600
Mailing Address
ROOSEVELT DISMUKES
500 HIGHWAY 61 N J
HAYTI, MO 63851
Phone number: 573-359-2600
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