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Individual

CALEB COULTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017019077
MO
364S00000X
Clinical Nurse Specialist
Primary
2026012438
MO

Other

Enumeration date
02/09/2026
Last updated
03/31/2026
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