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Riley Quinn Lang
Student in an Organized Health Care Education/Training Program in Boonville, Missouri
NPI 1467086314

Riley Quinn Lang is a Student in an Organized Health Care Education/Training Program based in Boonville, MO. Riley Quinn Lang practices in Boonville, MO. The NPI Number for Riley Quinn Lang is 1467086314 and holds a License No. (Missouri).

The current practice location address for Riley Quinn Lang is 1322 Logans Lake Rd, Boonville, MO and can be reached out via phone at 660-888-2676.

Location: 1322 Logans Lake Rd, Boonville, MO, 65233-2785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467086314
Provider Name
Riley Quinn Lang
Credential
Provider Entity Type
Individual
Gender
Male
Address
1322 Logans Lake Rd, Boonville, MO, 65233-2785
Phone Number
660-888-2676
Fax Number
Provider Enumeration Date
03/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1322 Logans Lake Rd
City
Boonville
State
Missouri
Zip
65233-2785
Phone Number
660-888-2676
Fax Number
person
Provider Business Mailing Address Details
Address
1322 Logans Lake Rd
City
Boonville
State
Missouri
Zip
65233-2785
Phone Number
660-888-2676
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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