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1063076313
CRYSTELLE WIONA CANUTO
COLUMBIA, MO
NPI
1063076313
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Former Name
CRYSTELLE WIONA JAMES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2019013218)
Enumeration Date
2019-04-23
Last Update Date
2023-06-28
Business Address
CRYSTELLE WIONA CANUTO NP-C
1600 E BROADWAY
COLUMBIA, MO 65201-5844
Phone number: 573-815-8000
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Mailing Address
CRYSTELLE WIONA CANUTO NP-C
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-635-5264
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