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1740583731
DERRICK SHANE BURTCHETT
WEST PLAINS, MO
NPI
1740583731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-12-13
Last Update Date
2010-12-13
Business Address
Mr. DERRICK SHANE BURTCHETT
1025 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
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Mailing Address
Mr. DERRICK SHANE BURTCHETT
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
Copy
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