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MRS. CAROLYN GIFFORD
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1518031749
Individual Registrant:MRS. CAROLYN GIFFORD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
505 S MYRTLE AVE SMITHTON, MO 65350-1038 US
Tel: 660-343-5317 Fax: --
Tel: 660-343-5317 Fax: --
Contact information for business:
505 S MYRTLE AVE SMITHTON, MO 65350-1038 US
Tel: 660-343-5317 Fax: --
Tel: 660-343-5317 Fax: --
Registration Information:
NPI: 1518031749
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | MO | 2004036396 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
