DIANE LOUISE LIGHT

JEFFERSON CITY, MO
NPI1831185651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MO  100575)
Enumeration Date2005-09-27
Last Update Date2012-08-10
Business Address
-- DIANE LOUISE LIGHT D.O.
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5700
Mailing Address
-- DIANE LOUISE LIGHT D.O.
1125 MADISON ST PO BOX 1107
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5700
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