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1548979255
WILLIAM RUSSELL MCKENZIE
FARMINGTON, MO
NPI
1548979255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MO 2022045231)
Enumeration Date
2022-11-21
Last Update Date
2022-11-21
Business Address
WILLIAM RUSSELL MCKENZIE FNP
1101 W LIBERTY ST
FARMINGTON, MO 63640-1921
Phone number: 573-756-6451
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Mailing Address
WILLIAM RUSSELL MCKENZIE FNP
1101 W LIBERTY ST
FARMINGTON, MO 63640-1921
Phone number: 573-756-6451
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