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1144511106
ANGELA MARY
SPRINGFIELD, MO
NPI
1144511106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2011006711)
Enumeration Date
2011-04-26
Last Update Date
2016-06-17
Business Address
-- ANGELA MARY NP-C
1153 E ELM ST
SPRINGFIELD, MO 65806-2612
Phone number: 866-389-2727
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Mailing Address
-- ANGELA MARY NP-C
1153 E ELM ST
SPRINGFIELD, MO 65806-2612
Phone number: 866-389-2727
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