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1679558530
TINA R MCCORKELL
PIEDMONT, MO
NPI
1679558530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 110399)
Enumeration Date
2005-12-13
Last Update Date
2021-03-05
Business Address
TINA R MCCORKELL FNP
420 PIEDMONT AVE
PIEDMONT, MO 63957-1024
Phone number: 573-223-4233
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Mailing Address
TINA R MCCORKELL FNP
PO BOX 801143
KANSAS CITY, MO 64180-1143
Phone number: 573-331-5583
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