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Individual

ALEXA RENEE SNODGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-7006
(417) 875-3593
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024027494
MO

Other

Enumeration date
07/19/2024
Last updated
08/29/2024
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