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1518303213
STEPHANIE HANNEKEN
COLUMBIA, MO
NPI
1518303213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: MO RN 091052)
Enumeration Date
2013-05-21
Last Update Date
2013-05-22
Business Address
-- STEPHANIE HANNEKEN RN
201 N GARTH AVE
COLUMBIA, MO 65203-4105
Phone number: 573-449-3953
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Mailing Address
-- STEPHANIE HANNEKEN RN
201 N GARTH AVE
COLUMBIA, MO 65203-4105
Phone number: 573-449-3953
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