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1578863841
DEANA MARIE SELF
HARRISONVILLE, MO
NPI
1578863841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2010038269)
Enumeration Date
2010-11-02
Last Update Date
2022-06-02
Business Address
DEANA MARIE SELF FNP-C
2820 E ROCK HAVEN RD SUITE 100
HARRISONVILLE, MO 64701-4411
Phone number: 816-380-3582
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Mailing Address
DEANA MARIE SELF FNP-C
25310 S STATE ROUTE K
HARRISONVILLE, MO 64701-9179
Phone number: 606-200-6638
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