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Individual

AZUCENA PUERTO STEELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, CRNI

Contact information

Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7269
(660) 885-5420
Mailing address
1600 N SECOND ST, CLINTON, MO 64735
(660) 890-7269
(660) 885-5420

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111973
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111973
STATEBOARD OF NURSING
MO
01
43359
INFUSION NURSES SOCIETY
MA
Enumeration date
09/28/2012
Last updated
09/28/2012
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