CLARISSA NORTHERN

KENNETT, MO
NPI1346639762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2009029787)
Enumeration Date2015-01-22
Last Update Date2015-01-22
Business Address
-- CLARISSA NORTHERN
925 HIGHWAY VV
KENNETT, MO 63857-0071
Phone number: 573-359-2600
Mailing Address
-- CLARISSA NORTHERN
925 HIGHWAY VV
KENNETT, MO 63857-0071
Phone number: 573-359-2600
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