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1083705487
MARSHA D SHIVLEY
POPLAR BLUFF, MO
NPI
1083705487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 075449)
Enumeration Date
2006-09-28
Last Update Date
2022-07-21
Business Address
-- MARSHA D SHIVLEY FNP
225 PHYSICIANS PARK STE 303
POPLAR BLUFF, MO 63901-3930
Phone number: 573-785-6536
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Mailing Address
-- MARSHA D SHIVLEY FNP
PO BOX 157
ELLINGTOM, MO 63638-0157
Phone number: 573-323-0423
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