Individual
SHARON SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
Mailing address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012014444
MO
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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