Individual
MRS. DORIS ANN EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Mailing address
1800 COMMUNITY DRIVE, CLINTON, MO 64375
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
038970
MO
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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