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Individual
MONIQUETTA OWENS
Active
Individual
MONIQUETTA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2015023416
MO
363LF0000X
Family Nurse Practitioner
Primary
2015023416
MO
Other
Enumeration date
07/14/2015
Last updated
11/22/2015
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