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1851887996
SHIVA K. ROCCA-NOUTASH
SPRINGFIELD, MO
NPI
1851887996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2018022120)
Enumeration Date
2018-07-01
Last Update Date
2018-07-11
Business Address
SHIVA K. ROCCA-NOUTASH CNP
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Phone number: 417-269-7728
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Mailing Address
SHIVA K. ROCCA-NOUTASH CNP
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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