ELLEN BIVENS

WEST PLAINS, MO
NPI1447257324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MO  120310)
Enumeration Date2005-07-07
Last Update Date2011-11-01
Business Address
Ms. ELLEN BIVENS
312 N KENTUCKY ST
WEST PLAINS, MO 65775-2073
Phone number: 417-257-7076
Mailing Address
Ms. ELLEN BIVENS
312 N KENTUCKY ST
WEST PLAINS, MO 65775-2073
Phone number: 417-257-7076
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