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Individual

HANNAH BORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5266
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019002150
MO

Other

Enumeration date
01/26/2018
Last updated
06/14/2024
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