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1790020519
LAUREL T RAINES
COLUMBIA, MO
NPI
1790020519
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Former Name
LAUREL T DAVISON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MO 201102500)
Enumeration Date
2012-12-05
Last Update Date
2018-07-08
Business Address
LAUREL T RAINES NP
1020 HITT STREET
COLUMBIA, MO 65212
Phone number: 573-882-1515
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Mailing Address
LAUREL T RAINES NP
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259
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