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Individual

DIANE T VALENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
105 N GRAND ST, SUITE 2, GREENFIELD, MO 65661-8198
(417) 637-5133
(417) 637-5124
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613
(417) 637-5133
(417) 637-5124

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN080891
MO

Other

Enumeration date
08/15/2006
Last updated
01/22/2010
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