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1720025216
LESA ELAINE DAVIS
ROLLA, MO
NPI
1720025216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2006005292)
Enumeration Date
2006-06-01
Last Update Date
2010-06-23
Business Address
Ms. LESA ELAINE DAVIS PA C
600 BLUES LAKE PKWY
ROLLA, MO 65401-8022
Phone number: 573-364-8823
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Mailing Address
Ms. LESA ELAINE DAVIS PA C
600 BLUES LAKE PKWY
ROLLA, MO 65401-8022
Phone number: 573-364-8823
Copy
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