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Individual

SAMIE JO OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1003 E CHERRY ST, TROY, MO 63379-1503
(636) 528-6755
Mailing address
1003 E CHERRY ST, TROY, MO 63379-1503

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2021024140
MO
363LF0000X
Family Nurse Practitioner
Primary
2024032570
MO

Other

Enumeration date
06/05/2024
Last updated
08/18/2024
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