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Individual

MS. CHERYL CORNELL ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4483
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4483

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
076897
MO
363LP2300X
Primary Care Nurse Practitioner
076897
MO

Other

Enumeration date
09/04/2006
Last updated
09/04/2014
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