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1124252325
GINA LORRAINE KOCH
CAPE GIRARDEAU, MO
NPI
1124252325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2003001857)
Enumeration Date
2009-05-04
Last Update Date
2011-01-03
Business Address
-- GINA LORRAINE KOCH FNP-BC
1701 LACEY ST
CAPE GIRARDEAU, MO 63701-5230
Phone number: 573-334-4822
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Mailing Address
-- GINA LORRAINE KOCH FNP-BC
1701 LACEY ST
CAPE GIRARDEAU, MO 63701-5230
Phone number: 573-334-4822
Copy
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