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1912524059
FARAH LYNN SHADDIX
O FALLON, MO
NPI
1912524059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2020019555)
Enumeration Date
2020-07-05
Last Update Date
2020-07-05
Business Address
Mrs. FARAH LYNN SHADDIX MSN, RN, PMHNP-BC
1103 WARM WINDS DR
O FALLON, MO 63366-6327
Phone number: 636-294-0673
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Mailing Address
Mrs. FARAH LYNN SHADDIX MSN, RN, PMHNP-BC
1103 WARM WINDS DR
O FALLON, MO 63366-6327
Phone number: 636-294-0673
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