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1376134700
TABBATHA ANN RUNNER
FORT LEONARD WOOD, MO
NPI
1376134700
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Former Name
TABBATHA ANN PEMBERTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse Case Management
(Licence: MO 2012007205)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
TABBATHA ANN RUNNER RN
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-2560
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Mailing Address
TABBATHA ANN RUNNER RN
32725 HIGHWAY 17
LAQUEY, MO 65534-7672
Phone number: 573-855-5912
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