Individual
ROSANNA POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
941 E GRACE ST, REPUBLIC, MO 65738-2712
(417) 827-3999
Mailing address
941 E GRACE ST, REPUBLIC, MO 65738-2712
(417) 827-3999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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