Individual
KARLA BRUNTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E COLLEGE ST, MARSHALL, MO 65340-3109
(660) 886-8772
Mailing address
604 W HILLSIDE DR, MARSHALL, MO 65340-2423
(660) 815-1315
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2000171998
MO
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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