Stacey A Burton

NPI 1467662965 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1467662965
Gender Female
Enumeration Date 05/23/2007
Last Updated 02/23/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
REPUBLIC R-III
518 N HAMPTON AVE
REPUBLIC MO, 65738-1323, US
Phone (417) 732-3609
Fax (417) 732-3605
Business Location
518 N HAMPTON AVE
REPUBLIC MO, 65738-1323, US
Phone (417) 732-3609
Fax (417) 732-3605
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 118464
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According to our database, Stacey A Burton NPI is 1467662965, taxonomy code is 235Z00000X and license number is 118464, license state is located at Missouri. Stacey A Burton physically located at Republic R-iii, Republic MO, 65738-1323. NPI Number Stacey A Burton has the Individual type.

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1467662965 NPI number is provided on an as is basis without warranty of any kind. 1467662965 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey A Burton are for informational purposes only.