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1477178564
QUADE VICKERS
SPRINGFIELD, MO
NPI
1477178564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO F06200928)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
QUADE VICKERS
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-875-3846
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Mailing Address
QUADE VICKERS
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-875-3000
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