Individual
KAREN I GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-5626
(573) 332-0120
Mailing address
1335 WESTHILL DR, CAPE GIRARDEAU, MO 63701-3025
(573) 334-4722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011014532
MO
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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