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1386357812
MAKENLEA MONTAGUE
COLUMBIA, MO
NPI
1386357812
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Former Name
MAKENLEA MONTAGUE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2022049694)
Enumeration Date
2022-12-29
Last Update Date
2024-03-15
Business Address
MAKENLEA MONTAGUE FNP-C
2011 CORONA RD STE 207
COLUMBIA, MO 65203-2548
Phone number: 573-544-8160
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Mailing Address
MAKENLEA MONTAGUE FNP-C
2011 CORONA RD STE 207
COLUMBIA, MO 65203-2548
Phone number: 573-234-1000
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