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Individual

CHRISTINE HELEN ADCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP

Contact information

Practice address
805 KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 256-2111
(417) 256-4858
Mailing address
2519 COURTNEY PL, WEST PLAINS, MO 65775-4402
(417) 257-7305

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN117506
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425685617
MO
05
599022307
MO
05
599022308
MO
Enumeration date
06/10/2005
Last updated
07/09/2007
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