Individual
ABAGAIL BENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1805 E WALNUT ST, COLUMBIA, MO 65201-6425
(573) 603-1460
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2021031159
MO
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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