Individual
MS. SUSAN MARGARET NEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S RANGE LINE RD, JOPLIN, MO 64801-5585
(417) 782-4802
(417) 625-2704
Mailing address
501 ASHMORE DR, CARL JUNCTION, MO 64834-9333
(417) 310-7020
(417) 625-2704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000164938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000164938
LICENSE NUMBER
MO
Enumeration date
05/30/2012
Last updated
05/30/2012
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