Individual
SHANNON STARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1765
(573) 596-4900
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1765
(573) 596-4900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
058957
MO
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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