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1992465199
TAHRA S LOCK
SPRINGFIELD, MO
NPI
1992465199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2021028370)
Enumeration Date
2021-12-29
Last Update Date
2023-04-06
Business Address
TAHRA S LOCK NP-C
3801 S NATIONAL AVE FL 9
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-5158
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Mailing Address
TAHRA S LOCK NP-C
PO BOX 802843
KANSAS CITY, MO 64180-2843
Phone number: 417-730-6430
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