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1780684753
JODY L STANTON
SPRINGFIELD, MO
NPI
1780684753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 113614)
Enumeration Date
2005-07-29
Last Update Date
2024-10-04
Business Address
Ms. JODY L STANTON PAC, ATC
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807-7310
Phone number: 000-000-0000
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Mailing Address
Ms. JODY L STANTON PAC, ATC
PO BOX 505673
SAINT LOUIS, MO 63150-5673
Phone number: 417-730-6430
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