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1215537220
JOHN FRANKLIN NISWONGER
JACKSON, MO
NPI
1215537220
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Other Name
JOHNNY FRANKLIN NISWONGER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2020034604)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
JOHN FRANKLIN NISWONGER AGNP-C
861 CANYON TRL
JACKSON, MO 63755-4001
Phone number: 573-837-2390
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Mailing Address
JOHN FRANKLIN NISWONGER AGNP-C
861 CANYON TRL
JACKSON, MO 63755-4001
Phone number: 573-837-2390
Copy
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