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Individual

MARGARET L SLAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
Mailing address
PO BOX 504274, SAINT LOUIS, MO 63150-4274
(855) 420-7900

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013006252
MO
363LF0000X
Family Nurse Practitioner
Primary
2017019298
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE
MO
05
PENDING
AR
05
PENDING
MO
05
PENDING
OK
Enumeration date
06/05/2017
Last updated
05/09/2019
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