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Individual

ANNETTE ALBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4430 MISSOURI AVE # 1263, ROOM 142 EENT CLINIC, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0048
Mailing address
4430 MISSOURI AVE # 1263, ROOM 142 EENT CLINIC, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0048

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004025629
MO

Other

Enumeration date
12/07/2015
Last updated
12/07/2015
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