Individual
CONNIE LYNN INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 W RUSSELL ST, IRONTON, MO 63650-1313
(573) 546-3434
(573) 546-3006
Mailing address
1605 MADISON 535, FREDERICKTOWN, MO 63645-8373
(573) 546-2546
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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