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Individual

MOIRA S DUVERNEAU-SALIFU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3001 SAINT JOHNS BLVD, JOPLIN, MO 64804-1884
(952) 451-2356
Mailing address
KCU ORAL HEALTH CENTER, 3001 ST. JOHN'S BLVD, JOPLIN, MO 64804
(952) 451-2356

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00342000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MO

Other

Enumeration date
11/21/2011
Last updated
08/20/2024
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