DEBRA L VINE

FORT LEONARD WOOD, MO
NPI1851847131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2016-08-28
Last Update Date2016-08-28
Business Address
-- DEBRA L VINE
12720 KANSAS AVE BLDG 789
FORT LEONARD WOOD, MO 65473
Phone number: 573-596-1470
Mailing Address
-- DEBRA L VINE
12720 KANSAS AVE 720
FT. LEONARD WOOD, MO 65473
Phone number: 573-596-1470
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