SARA REVELLE

COLUMBIA, MO
NPI1124104831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  096829)
Enumeration Date2006-10-27
Last Update Date2016-01-26
Business Address
-- SARA REVELLE fnp
900 W NIFONG STE 101
COLUMBIA, MO 65203-3032
Phone number: 573-499-9009
Mailing Address
-- SARA REVELLE fnp
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8573
Phone number: 573-499-9009
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