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Organization

CAPE FAMILY MEDICAL CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC R GOINES (OWNER)
(573) 332-7992
Entity
Organization

Contact information

Practice address
24 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5526
(573) 332-7992
(573) 332-7998
Mailing address
24 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5526
(573) 332-7992
(573) 332-7998

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MO
364SF0001X
Family Health Clinical Nurse Specialist

Other

Enumeration date
01/13/2012
Last updated
04/19/2013
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