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Individual

MRS. CIARA PENNOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
600 E ALLEN ST STE A, KNOB NOSTER, MO 65336-1184
(660) 563-5555
Mailing address
600 E ALLEN ST STE A, KNOB NOSTER, MO 65336-1184
(660) 563-5555

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021043083
MO

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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