LONNIE JACK HAND

FARMINGTON, MO
NPI1912255571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: MO  096362)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- LONNIE JACK HAND R.N.
1085 MAPLE ST
FARMINGTON, MO 63640-1085
Phone number: 573-756-5353
Mailing Address
-- LONNIE JACK HAND R.N.
1085 MAPLE ST
FARMINGTON, MO 63640-1085
Phone number: 573-756-5353
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