Individual
MRS. SHARON GAY MCNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
126 MISSOURI AVE # 1255, USA MEDDAC FAMILY PRACTICE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1765
Mailing address
126 MISSOURI AVE # 1255, USA MEDDAC FAMILY PRACTICE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1765
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
034569
MO
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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