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1295119220
MARLISA G. MCGOWAN
MOUNTAIN GROVE, MO
NPI
1295119220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2015018288)
Enumeration Date
2015-07-20
Last Update Date
2015-11-20
Business Address
-- MARLISA G. MCGOWAN PNP-C
120 W 16TH ST
MOUNTAIN GROVE, MO 65711-1039
Phone number: 417-926-6111
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Mailing Address
-- MARLISA G. MCGOWAN PNP-C
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-829-4620
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