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Individual

CHRISTENE ANN O'LOUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
905 HIGHWAY 161, BOWLING GREEN, MO 63334-2431
(573) 754-5555
(573) 754-5932
Mailing address
PO BOX 1257, HANNIBAL, MO 63401-1257
(636) 293-4303

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2007018062
MO
363LF0000X
Family Nurse Practitioner
Primary
2017017849
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017017849
STATE NP LICENSE
MO
Enumeration date
07/17/2017
Last updated
03/21/2018
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