ANGELINE ENNIS

SPRINGFIELD, MO
NPI1457812869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2018044468)
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
ANGELINE ENNIS NP
2115 S FREMONT AVE STE 1100
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-3554
Mailing Address
ANGELINE ENNIS NP
2115 S FREMONT AVE STE 1100
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-3554
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