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1710596424
CLAY OWEN THORNBURG
HANNIBAL, MO
NPI
1710596424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 2020023348)
Enumeration Date
2020-07-28
Last Update Date
2022-07-25
Business Address
CLAY OWEN THORNBURG NP
100 MEDICAL DR
HANNIBAL, MO 63401-6877
Phone number: 573-221-5250
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Mailing Address
CLAY OWEN THORNBURG NP
602 S HOME ST
PALMYRA, MO 63461-1747
Phone number: 573-822-8530
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