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1134501695
CARLA K. ATHEN
SPRINGFIELD, MO
NPI
1134501695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2015019756)
Enumeration Date
2015-06-22
Last Update Date
2015-10-15
Business Address
-- CARLA K. ATHEN FNP-C
3231 S NATIONAL AVE SUITE 300
SPRINGFIELD, MO 65807-7304
Phone number: 417-841-0285
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Mailing Address
-- CARLA K. ATHEN FNP-C
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-829-4620
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