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Individual

MRS. LINDA SUSAN KOLOSTOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8445
(573) 884-5318
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109902
MO

Other

Enumeration date
12/20/2006
Last updated
04/12/2013
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