MACY TATUM

CAPE GIRARDEAU, MO
NPI1336647833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2017018173)
Enumeration Date2018-01-30
Last Update Date2018-01-30
Business Address
MACY TATUM LPN
1112 LINDEN ST
CAPE GIRARDEAU, MO 63703-7707
Phone number: 573-332-0416
Mailing Address
MACY TATUM LPN
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5703
Phone number: 573-332-0416
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