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Individual

MRS. SUZANNE R HUDDLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
181 N KENTUCKY AVE STE 100, WEST PLAINS, MO 65775-2092
(417) 257-5911
(417) 257-5913
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-6782
(417) 257-5838

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018024086
MO

Other

Enumeration date
10/22/2018
Last updated
10/22/2018
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