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Individual

DR. SALLY K ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C., FNP-C

Contact information

Practice address
120 W 16TH ST, MOUNTAIN GROVE, MO 65711-1039
(417) 926-6111
Mailing address
120 W 16TH ST, MOUNTAIN GROVE, MO 65711-1039
(417) 926-6111

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
0391
MS
363LF0000X
Family Nurse Practitioner
Primary
2015044894
MO
363LF0000X
Family Nurse Practitioner
R895367
MS

Other

Enumeration date
10/03/2006
Last updated
10/12/2017
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