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1619645918
SHELBY LYNN ICENHOWER
SPRINGFIELD, MO
NPI
1619645918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2021031470)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
Mrs. SHELBY LYNN ICENHOWER NP-C
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2115
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Mailing Address
Mrs. SHELBY LYNN ICENHOWER NP-C
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number:
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