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1841784204
OPAL DEANNA DEAN
ROLLA, MO
NPI
1841784204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 036334)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
OPAL DEANNA DEAN PN
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401-2981
Phone number: 573-364-8511
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Mailing Address
OPAL DEANNA DEAN PN
PO BOX 459
FARMINGTON, MO 63640-0459
Phone number:
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