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1689345951
ROBERT R VANDERMYDE
FARMINGTON, MO
NPI
1689345951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-09-25
Last Update Date
2024-05-08
Business Address
ROBERT R VANDERMYDE
1085 MAPLE ST
FARMINGTON, MO 63640-1955
Phone number: 573-482-5334
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Mailing Address
ROBERT R VANDERMYDE
400 N WASHINGTON ST STE 229
FARMINGTON, MO 63640-1716
Phone number: 573-218-9699
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