CLARENCE TUCKER JOUSTRA

LAMAR, MO
NPI1942202080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  R9G86)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
Dr. CLARENCE TUCKER JOUSTRA DO
805 GULF ST
LAMAR, MO 64759-1238
Phone number: 417-682-5508
Mailing Address
Dr. CLARENCE TUCKER JOUSTRA DO
805 GULF ST
LAMAR, MO 64759-1238
Phone number: 417-682-5508
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