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Organization

ON MY OWN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER GUNDY (EXECUTIVE DIRECTOR)
(417) 667-7007
Entity
Organization

Contact information

Practice address
428 E HIGHLAND AVE, NEVADA, MO 64772-1019
(417) 667-7007
(417) 667-6262
Mailing address
428 E HIGHLAND AVE, NEVADA, MO 64772-1019
(417) 667-7007
(417) 667-6262

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266212406
MO
Enumeration date
03/09/2007
Last updated
12/16/2024
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