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1073132817
ELIZABETH CARRIE PHELPS
SPRINGFIELD, MO
NPI
1073132817
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Former Name
ELIZABETH CARRIE COLLUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2021000070)
Enumeration Date
2020-04-12
Last Update Date
2024-03-07
Business Address
ELIZABETH CARRIE PHELPS PA-C
3231 S NATIONAL AVE STE 220
SPRINGFIELD, MO 65807-7304
Phone number: 417-820-8450
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Mailing Address
ELIZABETH CARRIE PHELPS PA-C
3231 S NATIONAL AVE STE 220
SPRINGFIELD, MO 65807-7304
Phone number: 417-820-8450
Copy
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