SHANE ALLAN PHILLIBER

JOPLIN, MO
NPI1891455507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2021049273)
Enumeration Date2021-12-21
Last Update Date2021-12-21
Business Address
SHANE ALLAN PHILLIBER CNP
530 S MAIDEN LN
JOPLIN, MO 64801-3084
Phone number: 417-782-6200
Mailing Address
SHANE ALLAN PHILLIBER CNP
14741 TULSA LN
STARK CITY, MO 64866-7964
Phone number: 417-638-5183
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