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Individual

MRS. SANDRA J CLARKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNBC FNP

Contact information

Practice address
307 S BROADWAY, SALISBURY, MO 65281-1037
(660) 388-6446
Mailing address
19375 HUSK RD, LACLEDE, MO 64651-7187
(660) 963-2354

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
072707
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428524607
MO
Enumeration date
08/31/2005
Last updated
01/07/2010
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