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1174512370
GINA RENEE CARTER
OSAGE BEACH, MO
NPI
1174512370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO DO-R1HO4)
Enumeration Date
2005-10-19
Last Update Date
2012-06-12
Business Address
Dr. GINA RENEE CARTER D.O.
940 EXECUTIVE DR LAKE CBOC-VA
OSAGE BEACH, MO 65065-3497
Phone number: 573-302-7890
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Mailing Address
Dr. GINA RENEE CARTER D.O.
940 EXECUTIVE DR LAKE CBOC-VA
OSAGE BEACH, MO 65065-3497
Phone number: 573-302-7890
Copy
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