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Individual

MS. SARAH JEAN HENTGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(573) 634-3000
(573) 635-7560
Mailing address
2035 BUEHRLE DR, JEFFERSON CITY, MO 65109-1992
(573) 645-5097

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2008029370
MO

Other

Enumeration date
03/31/2016
Last updated
03/31/2016
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