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1629512256
OE SUK HACKNEY
COLUMBIA, MO
NPI
1629512256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2017009935)
Enumeration Date
2016-12-16
Last Update Date
2022-08-23
Business Address
OE SUK HACKNEY ACNPC-AG
1 HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-882-1151
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Mailing Address
OE SUK HACKNEY ACNPC-AG
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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