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Individual

SHANNON NIGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
146 S LIMIT AVE, SEDALIA, MO 65301-3655
(660) 826-5930
(660) 826-5943
Mailing address
146 S LIMIT AVE, SEDALIA, MO 65301-3655
(660) 826-5930
(660) 826-5943

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2015041150
MO

Other

Enumeration date
08/05/2016
Last updated
08/05/2016
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