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Individual

REBECCA J HALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 659-9100
(417) 659-9101
Mailing address
4301 DONIPHAN DR, NEOSHO, MO 64850-9120
(417) 451-9450
(417) 451-8903

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2010006475
MO

Other

Enumeration date
03/15/2010
Last updated
03/06/2012
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