SANDRA LEE MITKOS

POTOSI, MO
NPI1790015527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2009036279)
Enumeration Date2009-12-29
Last Update Date2018-04-25
Business Address
-- SANDRA LEE MITKOS FNP
108 FRIZZELL ST
POTOSI, MO 63664-1505
Phone number: 573-438-5408
Mailing Address
-- SANDRA LEE MITKOS FNP
300 HEALTH WAY DR
POTOSI, MO 63664-1420
Phone number: 573-438-5451
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