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1225260532
DEIRDRE L NIVENS
POTOSI, MO
NPI
1225260532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 124134)
Enumeration Date
2009-08-20
Last Update Date
2014-06-17
Business Address
-- DEIRDRE L NIVENS FAMILY NURSE PRACITI
200 HEALTH WAY DR
POTOSI, MO 63664-1434
Phone number: 573-438-2977
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Mailing Address
-- DEIRDRE L NIVENS FAMILY NURSE PRACITI
300 HEALTH WAY DR
POTOSI, MO 63664-1434
Phone number: 573-438-2977
Copy
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