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Jessica McClenton

Student in an Organized Health Care Education/Training Program in Warrensburg, MO. Individual provider (NPI-1).

NPI number1164020640
StatusActive
Last updated in NPPESOct 15, 2020

Details

NPI
1164020640
Entity type
Individual (NPI-1)
Name
Jessica McClenton
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2020
Certification date
Oct 15, 2020
Last updated
Oct 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

108 W South St
Morrow 125
Warrensburg, MO 64093-2324

Phone 660-543-5256

Mailing address

108 W South St
Morrow 125
Warrensburg, MO 64093-2324

Phone 660-543-5256

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