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1710293972
MARY ELLEN SHANKS
MONTGOMERY CITY, MO
NPI
1710293972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2010027851)
Enumeration Date
2010-08-26
Last Update Date
2020-10-20
Business Address
MARY ELLEN SHANKS APRN,BC,FNP
504 N STURGEON ST
MONTGOMERY CITY, MO 63361-1829
Phone number: 573-564-2990
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Mailing Address
MARY ELLEN SHANKS APRN,BC,FNP
PO BOX 19
MONTGOMERY CITY, MO 63361-0019
Phone number: 573-564-2990
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