Individual
SHARON IGOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S ILLINOIS AVE, REPUBLIC, MO 65738-1177
(417) 269-1910
(417) 269-1916
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018018398
MO
Other
Enumeration date
06/05/2018
Last updated
04/18/2023
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