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1134586217
NICKIE LYNN LUNA
CARUTHERSVILLE, MO
NPI
1134586217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
NICKIE LYNN LUNA
304 E 20TH ST
CARUTHERSVILLE, MO 63830-2569
Phone number: 573-922-9138
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Mailing Address
NICKIE LYNN LUNA
304 E 20TH ST
CARUTHERSVILLE, MO 63830-2569
Phone number: 573-922-9138
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