A PATTERN HEALTH CLINIC, INC
Ambulatory Health at Odell Ave, Napton, MO

License number
Missouri 01272547
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: ANNEX LUBERISSE
Title: PRESIDENT
Phone: (660) 886-9852
Address
Address
1674 S Odell Ave, Napton, MO 65340
National Provider ID: 1710320643
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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A Pattern Health Clinic, Inc

1674 S Odell Ave, Marshall, MO 65340

Registration:
Nov 30, 2012
State ID:
01272547
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Agent:
Iii Penn,1674 S Odell St, Marshall, MO 65340 (Physical)

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