CORTNY OSIE-ANN VANDERGRIFT

JEFFERSON CITY, MO
NPI1215570585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MO  2019040282)
Enumeration Date2019-10-19
Last Update Date2023-09-05
Business Address
CORTNY OSIE-ANN VANDERGRIFT
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-636-5248
Mailing Address
CORTNY OSIE-ANN VANDERGRIFT
9950 KRCMAR TRL
NEW BLOOMFIELD, MO 65063-1947
Phone number: 573-353-1138
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