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Patricia Dierking
NPI 1497036982 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2003 1st St
Grand Pass, MO 65339 - Phone
- (660) 202-7515
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri