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Individual

CHERYL CALVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC FNP

Contact information

Practice address
101 W PATTERSON ST, MOUNT VERNON, MO 65712-1054
(417) 466-7700
(417) 466-7754
Mailing address
43 OLD MILL LN, SOUTH GREENFIELD, MO 65752-7173
(417) 637-5458

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64430
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000000
NO NUMER AVAILABLE
MO
Enumeration date
08/16/2006
Last updated
12/18/2009
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