MELISSA DEROUSSE

POTOSI, MO
NPI1396079505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MO  2004003161)
Enumeration Date2009-09-22
Last Update Date2009-09-22
Business Address
-- MELISSA DEROUSSE
1 SOUTHTOWNE DR
POTOSI, MO 63664-5729
Phone number: 573-438-9355
Mailing Address
-- MELISSA DEROUSSE
1 SOUTHTOWNE DR
POTOSI, MO 63664-5729
Phone number: 573-438-9355
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