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1215462999
KAMEALYA LEAH FARRELL
SULLIVAN, MO
NPI
1215462999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2017009934)
Enumeration Date
2017-05-01
Last Update Date
2018-05-16
Business Address
Mrs. KAMEALYA LEAH FARRELL FNP-C, RN
1326 S SERVICE RD W STE 10
SULLIVAN, MO 63080
Phone number: 573-468-4455
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Mailing Address
Mrs. KAMEALYA LEAH FARRELL FNP-C, RN
1326 S SERVICE RD W STE 10
SULLIVAN, MO 63080-2306
Phone number: 573-468-4455
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