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Individual

LAUREL T RAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1020 HITT STREET, COLUMBIA, MO 65212
(573) 882-1515
(573) 884-0070
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201102500
MO

Other

Enumeration date
12/05/2012
Last updated
07/08/2018
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