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Arla Fanning

NPI 1164562849 · on the registry since 2007 · sole proprietor

Practice

Address
403 Pine St
Box A
Callao, MO 63534
Phone
(660) 768-5541
Fax
(660) 768-5699
Organisation at this address
Callao C-8 School District
Inferred from a shared address, not stated in the registry.

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
2007-07-08

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