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1003436411
KELLY L. FOURNIER
NIXA, MO
NPI
1003436411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: 20020019)
Enumeration Date
2020-04-26
Last Update Date
2020-04-26
Business Address
KELLY L. FOURNIER CPM
105 S SMALLEY ST
NIXA, MO 65714-7829
Phone number: 931-209-0771
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Mailing Address
KELLY L. FOURNIER CPM
105 S SMALLEY ST
NIXA, MO 65714-7829
Phone number: 931-209-0771
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