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NPI Provider: 1104821867
Contact Name: Lakeman L Sherry
Position: Administrator
Phone: (417) 667-6015
Nevada Medical Clinic Information:
Nevada Medical Clinic organization have npi 1104821867, taxonomy code is 207Q00000X with license number is 31629 in . This Business address located in 900 S Adams St, Nevada, MO 64772 Missouri. Get directions of Nevada Medical Clinic.
Practice Location
Address: 900 S Adams St, Nevada, MO 64772
Phone: (417) 667-6015
Business Location
Address: 900 S Adams St, Nevada, MO 64772
Phone: (417) 667-6015
Fax: (417) 667-4234
Taxonomy
Taxonomy Code: 207Q00000X
License Number: 31629
License Number of State: MO
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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