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Individual

JOSHUA W HAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN, CPHT, CHW

Contact information

Practice address
2650 W KEARNEY ST STE 116, SPRINGFIELD, MO 65803-2055
(417) 865-1547
Mailing address
2650 W KEARNEY ST STE 116, SPRINGFIELD, MO 65803-2055

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2023034713
MO
172V00000X
Community Health Worker
MO
183700000X
Pharmacy Technician
2020033222
MO

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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