TRACI ANNE SHAMBO

FORT LEONARD WOOD, MO
NPI1982198453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MO  2012040673)
Enumeration Date2018-06-19
Last Update Date2018-06-19
Business Address
Mrs. TRACI ANNE SHAMBO RDH
BLDG. 400 VIRGINIA AVE
FORT LEONARD WOOD, MO 65473
Phone number: 573-596-0408
Mailing Address
Mrs. TRACI ANNE SHAMBO RDH
22964 REVELATION RD
WAYNESVILLE, MO 65583-7827
Phone number: 724-496-6814
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