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Organization

OLDE TOWNE MEDICAL COMPANY, LLC

Active
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Organization

OLDE TOWNE MEDICAL COMPANY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL DIBOOGLU FNP-C (FNP-C)
(573) 768-2436
Entity
Organization

Contact information

Practice address
27 W SAINT JOSEPH ST, PERRYVILLE, MO 63775-1344
(573) 768-2399
Mailing address
27 W SAINT JOSEPH ST, PERRYVILLE, MO 63775-1344
(573) 768-2399

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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