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1376637728
JEANIE LARUE MCCLANAHAN
ELLINGTON, MO
NPI
1376637728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- JEANIE LARUE MCCLANAHAN
115 WALNUT ST.
ELLINGTON, MO 63638
Phone number: 573-663-3177
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Mailing Address
-- JEANIE LARUE MCCLANAHAN
HC1 BOX 160B1
CENTERVILLE, MO 63633
Phone number: 573-924-2286
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