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Individual

MISS VICKY LAURINE SIMBRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
4505 COVE RD, OSAGE BEACH, MO 65065-2307
(573) 552-8525
Mailing address
4505 COVE RD, OSAGE BEACH, MO 65065-2307
(573) 552-8525

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
125894
MO

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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