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Karen Branch

Licensed Practical Nurse in Hannibal, MO. Individual provider (NPI-1).

NPI number1477077147
StatusActive
Last updated in NPPESAug 3, 2017

Details

NPI
1477077147
Entity type
Individual (NPI-1)
Name
Karen Branch
Sex
Female
Sole proprietor
No
Enumeration date
Aug 3, 2017
Last updated
Aug 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse2003026468MOYes

Practice location

141 Communication Dr
Hannibal, MO 63401-3670

Phone 573-603-1460

Mailing address

141 Communication Dr
Hannibal, MO 63401-3670

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