Organization
1ST FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH KAY CROSSKNO (OWNER, BUSINESS MANAGER)
(573) 575-4416
Entity
Organization
Contact information
Practice address
207 BESSIE STREET, HORNERSVILLE, MO 63855-9867
(573) 575-4416
(573) 695-2012
Mailing address
207 BESSIE STREET, HORNERSVILLE, MO 63855-9867
(573) 575-4416
(573) 695-2012
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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