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Individual

NANDA ABIGAIL NUNNELLY-SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAB DIRECTOR

Contact information

Practice address
407 S PENNSYLVANIA AVE STE 202, JOPLIN, MO 64801-2281
(417) 362-6398
Mailing address
407 S PENNSYLVANIA AVE STE 202, JOPLIN, MO 64801-2281
(417) 499-1525

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
26D2227808
MO

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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