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1467952606
JAMES JEREMIAH MOOTY
SIKESTON, MO
NPI
1467952606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2018003400)
Enumeration Date
2018-02-14
Last Update Date
2018-02-14
Business Address
JAMES JEREMIAH MOOTY FNP
1008 N MAIN ST
SIKESTON, MO 63801-5044
Phone number: 573-472-6001
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Mailing Address
JAMES JEREMIAH MOOTY FNP
1008 N MAIN ST
SIKESTON, MO 63801-5044
Phone number: 573-472-7406
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